10D2169012 CLIA NUMBER - BAPTIST PRIMARY CARE, INC.

Laboratory Demographics

  • CLIA Code: 10D2169012
  • Facility Name: BAPTIST PRIMARY CARE, INC.
  • Facility Address: 550 DURBIN PAVILLION DRIVE SUITE G101
    ST JOHNS, FL
    ZIP 32259
  • Facility Phone: 904 770-2095
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KYLE HERRING DO
  • NPI Number: 1558924035
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2169012
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE, INC.
Street 550 DURBIN PAVILLION DRIVE SUITE G101
City ST JOHNS
State FL
ZIP 32259
Phone 904 770-2095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director KYLE HERRING DO

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