10D2210358 CLIA NUMBER - BAYBAP, LLC

Laboratory Demographics

  • CLIA Code: 10D2210358
  • Facility Name: BAYBAP, LLC
  • Facility Address: 3563 PHILIPS HWY - BLDG B - STE 202-B
    JACKSONVILLE, FL
    ZIP 32207
  • Facility Phone: 904 202-4300
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CAROL PETRY
  • NPI Number: 1023612884
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2210358
LAB Type Home Health Agency
Facility Name BAYBAP, LLC
Street 3563 PHILIPS HWY - BLDG B - STE 202-B
City JACKSONVILLE
State FL
ZIP 32207
Phone 904 202-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Home Health Agency
Lab Director CAROL PETRY

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