10D2168764 CLIA NUMBER - BARNABAS HEALTH SERVICES INC

Laboratory Demographics

CLIA Number: 10D2168764

Facility Name: BARNABAS HEALTH SERVICES INC

Facility Address:
1303 JASMINE ST STE 101
FERNANDINA BEACH, FL
ZIP 32034
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Facility Phone Number: 904 261-7000

Facility Type: Other - MEDICAL FOR UNINSURED

Certificate Type: Waiver

NPI Number: 1386040467

Taxonomy: 207QA0505X - Family Medicine
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

CLIA Record

Field Name	Field Value
CLIA Number	10D2168764
LAB Type	Other - MEDICAL FOR UNINSURED
Facility Name	BARNABAS HEALTH SERVICES INC
Street	1303 JASMINE ST STE 101
City	FERNANDINA BEACH
State	FL
ZIP	32034
Phone	904 261-7000
CertificateType	4
CertificateEffectiveDate	7/9/2023
CertificateExpirationDate	7/8/2025
FacilityType	Waiver

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