10D1103939 CLIA NUMBER - BAPTIST PRIMARY CARE, INC

Laboratory Demographics

  • CLIA Code: 10D1103939
  • Facility Name: BAPTIST PRIMARY CARE, INC
  • Facility Address: 14011 BEACH BLVD - STE 230
    JACKSONVILLE, FL
    ZIP 32250
  • Facility Phone: 904 992-1601
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEIROUZ JOSEPH
  • NPI Number: 1114251543
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1103939
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE, INC
Street 14011 BEACH BLVD - STE 230
City JACKSONVILLE
State FL
ZIP 32250
Phone 904 992-1601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director NEIROUZ JOSEPH

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