10D2142039 CLIA NUMBER - BAPTIST PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2142039
  • Facility Name: BAPTIST PRIMARY CARE
  • Facility Address: 11236 BAPTIST HEALTH DR STE 330
    JACKSONVILLE, FL
    ZIP 32218
  • Facility Phone: 904 647-8140
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL KIM
  • NPI Number: 1073794038
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2142039
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE
Street 11236 BAPTIST HEALTH DR STE 330
City JACKSONVILLE
State FL
ZIP 32218
Phone 904 647-8140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Physician Office
Lab Director SAMUEL KIM

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