10D2039365 CLIA NUMBER - BAPTIST PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2039365
  • Facility Name: BAPTIST PRIMARY CARE
  • Facility Address: 13720 OLD ST AUGUSTINE RD STE 1
    JACKSONVILLE, FL
    ZIP 32258
  • Facility Phone: 904 288-5550
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TESSA RICCI
  • NPI Number: 1407122294
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2039365
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE
Street 13720 OLD ST AUGUSTINE RD STE 1
City JACKSONVILLE
State FL
ZIP 32258
Phone 904 288-5550
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director TESSA RICCI

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