10D2234970 CLIA NUMBER - BAPTIST AGEWELL PHYSICIANS, INC

Laboratory Demographics

  • CLIA Code: 10D2234970
  • Facility Name: BAPTIST AGEWELL PHYSICIANS, INC
  • Facility Address: 98 NOCATEE VILLAGE DR
    PONTE VEDRA, FL
    ZIP 32081
  • Facility Phone: 904 202-4243
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALISON BARTFIELD
  • NPI Number: 1679240337
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2234970
LAB Type Physician Office
Facility Name BAPTIST AGEWELL PHYSICIANS, INC
Street 98 NOCATEE VILLAGE DR
City PONTE VEDRA
State FL
ZIP 32081
Phone 904 202-4243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Physician Office
Lab Director ALISON BARTFIELD

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