10D2057082 CLIA NUMBER - BAPTIST HEART SPECIALISTS

Laboratory Demographics

  • CLIA Code: 10D2057082
  • Facility Name: BAPTIST HEART SPECIALISTS
  • Facility Address: 1348 S 18TH ST BLDG B STE 200
    FERNANDINA BEACH, FL
    ZIP 32034
  • Facility Phone: 904 261-9786
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE G. LE BERT
  • NPI Number: 1073886065
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2057082
LAB Type Physician Office
Facility Name BAPTIST HEART SPECIALISTS
Street 1348 S 18TH ST BLDG B STE 200
City FERNANDINA BEACH
State FL
ZIP 32034
Phone 904 261-9786
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Physician Office
Lab Director GEORGE G. LE BERT

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