10D2315734 CLIA NUMBER - BAPTIST PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 10D2315734
  • Facility Name: BAPTIST PRIMARY CARE INC
  • Facility Address: 13000 SAWGRASS VILLAGE CIRCLE, BUILDING 8 SUITE 46
    PONTE VEDRA BEACH, FL
    ZIP 32082
  • Facility Phone: 904 202-6348
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM DIMITROV
  • NPI Number: 1144048851
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2315734
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE INC
Street 13000 SAWGRASS VILLAGE CIRCLE, BUILDING 8 SUITE 46
City PONTE VEDRA BEACH
State FL
ZIP 32082
Phone 904 202-6348
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director ADAM DIMITROV

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