10D1105299 CLIA NUMBER - BAPTIST ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 10D1105299
  • Facility Name: BAPTIST ENDOCRINOLOGY
  • Facility Address: 14540 OLD ST AUGUSTINE RD - STE 2201
    JACKSONVILLE, FL
    ZIP 32258
  • Facility Phone: 904 396-3742
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN S. CLELAND MD
  • NPI Number: 1346762234
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 10D1105299
LAB Type Physician Office
Facility Name BAPTIST ENDOCRINOLOGY
Street 14540 OLD ST AUGUSTINE RD - STE 2201
City JACKSONVILLE
State FL
ZIP 32258
Phone 904 396-3742
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Physician Office
Lab Director ALAN S. CLELAND MD

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