10D1068149 CLIA NUMBER - BAPTIST PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 10D1068149
  • Facility Name: BAPTIST PRIMARY CARE INC
  • Facility Address: 14534 OLD ST AUGUSTINE RD - STE 3120
    JACKSONVILLE, FL
    ZIP 32258
  • Facility Phone: 904 880-8388
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESUS ARCENAS
  • NPI Number: 1922288935
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1068149
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE INC
Street 14534 OLD ST AUGUSTINE RD - STE 3120
City JACKSONVILLE
State FL
ZIP 32258
Phone 904 880-8388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Physician Office
Lab Director JESUS ARCENAS

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This page was last updated on: 9/29/2025