10D2308129 CLIA NUMBER - 1 PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2308129
  • Facility Name: 1 PRIMARY CARE
  • Facility Address: 2140 KINGSLEY AVE UNIT 2
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: 904 375-1963
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA KALAROVICH
  • NPI Number: 1851146500
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2308129
LAB Type Physician Office
Facility Name 1 PRIMARY CARE
Street 2140 KINGSLEY AVE UNIT 2
City ORANGE PARK
State FL
ZIP 32073
Phone 904 375-1963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director JESSICA KALAROVICH

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