10D2080897 CLIA NUMBER - BAPTIST PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2080897
  • Facility Name: BAPTIST PRIMARY CARE
  • Facility Address: 1701 PARK AVE
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: 904 278-1200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL STEPHENS
  • NPI Number: 1841471828
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2080897
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE
Street 1701 PARK AVE
City ORANGE PARK
State FL
ZIP 32073
Phone 904 278-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director MICHAEL STEPHENS

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