10D2041854 CLIA NUMBER - BAPTIST PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2041854
  • Facility Name: BAPTIST PRIMARY CARE
  • Facility Address: 11945 SAN JOSE BLVD STE 301
    JACKSONVILLE, FL
    ZIP 32223
  • Facility Phone: 904 260-9699
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SIRLYS ARCON RIOS
  • NPI Number: 1023370459
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2041854
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE
Street 11945 SAN JOSE BLVD STE 301
City JACKSONVILLE
State FL
ZIP 32223
Phone 904 260-9699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director SIRLYS ARCON RIOS

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