CLIA lab
CLIA 10D0267384: Ancient City Pediatrics
Saint Augustine, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0267384 belongs to Ancient City Pediatrics in Saint Augustine, FL.
Certificate of Waiver, effective July 26, 2026, expires July 25, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 26, 2026
- Certificate expiration
- July 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D0267384
- Lab name
- Ancient City Pediatrics
- Address
- 1301 Plantation Island Dr S Ste 404, Saint Augustine, FL 32080
- Phone
- (904) 461-1560
- Fax
- (904) 461-4304
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Saint Augustine, FL
- Accmed Health Care SystemsCertificate of Waiver, Physician office10D2014539
- Advanced Endovascular InstituteCertificate of Waiver, Physician office10D2217060
- Advanced Pain and Spine Institute of Florida, LLCCertificate of Waiver, Physician office10D2276961
- Advanced Urology Institute LLCCertificate of Waiver, Physician office10D0971933
- Adventhealth LabCertificate of Registration, Hospital10D2344626
- Amir A Malik MDCertificate of Waiver, Physician office10D0859149
- Anastasia Medical Group, LLCCertificate of Waiver, Physician office10D1060442
- Anastasia PediatricsCertificate of Waiver, Physician office10D1060446
- Ansaarie Cardiac & Endovascular Center ofCertificate of Accreditation, Physician office10D2259424
- Arcpoint Labs of ST AugustineCertificate of Waiver, Physician office10D2240563
Related
Questions
What is the CLIA number for Ancient City Pediatrics in Saint Augustine?
10D0267384, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ancient City Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0267384 expire?
The CMS file lists July 25, 2028 as the certificate expiration date; the certificate took effect July 26, 2026.