10D2081622 CLIA NUMBER - BAPTIST PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2081622
  • Facility Name: BAPTIST PRIMARY CARE
  • Facility Address: 524 SKYMARKS DR STE 1
    JACKSONVILLE, FL
    ZIP 32218
  • Facility Phone: 904 696-7333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALMOND ROVEN RAVAL TOLEDO
  • NPI Number: 1538601125
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2081622
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE
Street 524 SKYMARKS DR STE 1
City JACKSONVILLE
State FL
ZIP 32218
Phone 904 696-7333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director ALMOND ROVEN RAVAL TOLEDO

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