10D2308303 CLIA NUMBER - BAPTIST BEHAVIORAL HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 10D2308303
  • Facility Name: BAPTIST BEHAVIORAL HEALTH, LLC
  • Facility Address: 1660 PRUDENTIAL DR SUITE 410, SOUTHBANK PLAZA II,
    JACKSONVILLE, FL
    ZIP 32207
  • Facility Phone: 904 390-7401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARSELL A. BROWN
  • NPI Number: 1932831930
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 10D2308303
LAB Type Physician Office
Facility Name BAPTIST BEHAVIORAL HEALTH, LLC
Street 1660 PRUDENTIAL DR SUITE 410, SOUTHBANK PLAZA II,
City JACKSONVILLE
State FL
ZIP 32207
Phone 904 390-7401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director MARSELL A. BROWN

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