10D2116829 CLIA NUMBER - BAPTIST PRIMARY CARE

Laboratory Demographics

CLIA Number: 10D2116829

Facility Name: BAPTIST PRIMARY CARE

Facility Address:
8355 MERCHANTS GATE DR
JACKSONVILLE, FL
ZIP 32222
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Facility Phone Number: 904 771-2900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356883839

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2116829
LAB Type	Physician Office
Facility Name	BAPTIST PRIMARY CARE
Street	8355 MERCHANTS GATE DR
City	JACKSONVILLE
State	FL
ZIP	32222
Phone	904 771-2900
CertificateType	4
CertificateEffectiveDate	8/2/2022
CertificateExpirationDate	8/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024