10D2282176 CLIA NUMBER - BAPTIST MD ANDERSON CANCER PHYSICIANS, INC

Laboratory Demographics

  • CLIA Code: 10D2282176
  • Facility Name: BAPTIST MD ANDERSON CANCER PHYSICIANS, INC
  • Facility Address: 2310 VILLAGE SQUARE PKWY, SUITE 106
    FLEMING ISLAND, FL
    ZIP 32003
  • Facility Phone: 904 202-7397
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY LABREE
  • NPI Number: 1578805875
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2282176
LAB Type Physician Office
Facility Name BAPTIST MD ANDERSON CANCER PHYSICIANS, INC
Street 2310 VILLAGE SQUARE PKWY, SUITE 106
City FLEMING ISLAND
State FL
ZIP 32003
Phone 904 202-7397
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director KIMBERLY LABREE

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