10D2278506 CLIA NUMBER - BAPTIST PRIMARY CARE, INC

Laboratory Demographics

  • CLIA Code: 10D2278506
  • Facility Name: BAPTIST PRIMARY CARE, INC
  • Facility Address: 1731 WELLS RD - STE 120
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: 904 376-4910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT RASPA
  • NPI Number: 1790471548
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2278506
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE, INC
Street 1731 WELLS RD - STE 120
City ORANGE PARK
State FL
ZIP 32073
Phone 904 376-4910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director ROBERT RASPA

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