10D2204997 CLIA NUMBER - BAPTIST PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 10D2204997
  • Facility Name: BAPTIST PRIMARY CARE INC
  • Facility Address: 110 HAMPTON POINT DRIVE
    SAINT AUGUSTINE, FL
    ZIP 32092
  • Facility Phone: 904 484-7772
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIED CELKIS
  • NPI Number: 1902428493
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2204997
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE INC
Street 110 HAMPTON POINT DRIVE
City SAINT AUGUSTINE
State FL
ZIP 32092
Phone 904 484-7772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director MARIED CELKIS

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