10D2064833 CLIA NUMBER - BAKER RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 10D2064833
  • Facility Name: BAKER RURAL HEALTH CLINIC
  • Facility Address: 159 N 3RD ST
    MACCLENNY, FL
    ZIP 32063
  • Facility Phone: 904 259-3151
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TAMELA M. MILLER
  • NPI Number: 1386082220
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2064833
LAB Type Rural Health Clinic
Facility Name BAKER RURAL HEALTH CLINIC
Street 159 N 3RD ST
City MACCLENNY
State FL
ZIP 32063
Phone 904 259-3151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Rural Health Clinic
Lab Director TAMELA M. MILLER

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