10D2108999 CLIA NUMBER - BAPTIST PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2108999
  • Facility Name: BAPTIST PRIMARY CARE
  • Facility Address: 769 BLANDING BLVD UNIT 7
    ORANGE PARK, FL
    ZIP 32065
  • Facility Phone: 904 458-4882
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAYLA FAZIO
  • NPI Number: 1811439516
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2108999
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE
Street 769 BLANDING BLVD UNIT 7
City ORANGE PARK
State FL
ZIP 32065
Phone 904 458-4882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director KAYLA FAZIO

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