10D2098436 CLIA NUMBER - BAPTIST UROLOGY

Laboratory Demographics

  • CLIA Code: 10D2098436
  • Facility Name: BAPTIST UROLOGY
  • Facility Address: 1348 S 18TH ST - STE 230
    FERNANDINA BEACH, FL
    ZIP 32034
  • Facility Phone: 904 277-2003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH SON
  • NPI Number: 1689011710
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2098436
LAB Type Physician Office
Facility Name BAPTIST UROLOGY
Street 1348 S 18TH ST - STE 230
City FERNANDINA BEACH
State FL
ZIP 32034
Phone 904 277-2003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Physician Office
Lab Director KENNETH SON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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