10D1081462 CLIA NUMBER - BAPTIST PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 10D1081462
  • Facility Name: BAPTIST PRIMARY CARE INC
  • Facility Address: 2310 VILLAGE SQUARE PARKWAY SUITE 206
    FLEMING ISLAND, FL
    ZIP 32003
  • Facility Phone: 904 264-4405
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CURTIS STORM
  • NPI Number: 1366880452
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1081462
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE INC
Street 2310 VILLAGE SQUARE PARKWAY SUITE 206
City FLEMING ISLAND
State FL
ZIP 32003
Phone 904 264-4405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Physician Office
Lab Director CURTIS STORM

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