10D2008112 CLIA NUMBER - BAKER COUNTY WIC OFFICE

Laboratory Demographics

  • CLIA Code: 10D2008112
  • Facility Name: BAKER COUNTY WIC OFFICE
  • Facility Address: 480 W LOWDER ST
    MACCLENNY, FL
    ZIP 32063
  • Facility Phone: 904 259-3233
  • Facility Type: Other - WOMEN INFANT CHILDREN WIC
  • Facility Type: Waiver
  • Lab Director: HEATHER E. HUFFMAN
  • NPI Number: 1306918271
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 10D2008112
LAB Type Other - WOMEN INFANT CHILDREN WIC
Facility Name BAKER COUNTY WIC OFFICE
Street 480 W LOWDER ST
City MACCLENNY
State FL
ZIP 32063
Phone 904 259-3233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Other - WOMEN INFANT CHILDREN WIC
Lab Director HEATHER E. HUFFMAN

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