10D2244747 CLIA NUMBER - BAPTIST PRIMARY CARE, INC

Laboratory Demographics

  • CLIA Code: 10D2244747
  • Facility Name: BAPTIST PRIMARY CARE, INC
  • Facility Address: 8789 SAN JOSE BLVD STE 111
    JACKSONVILLE, FL
    ZIP 32217
  • Facility Phone: 904 376-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFF JACQMEIN
  • NPI Number: 1558593996
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2244747
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE, INC
Street 8789 SAN JOSE BLVD STE 111
City JACKSONVILLE
State FL
ZIP 32217
Phone 904 376-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director JEFF JACQMEIN

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