CLIA lab

CLIA 10D0645076: ST Augustine FL Opco LLC the Lilac at Bayview

Saint Augustine, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D0645076 belongs to ST Augustine FL Opco LLC the Lilac at Bayview in Saint Augustine, FL.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 18, 1993
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Private
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
10D0645076
Lab name
ST Augustine FL Opco LLC the Lilac at Bayview
Address
161 Marine Street, Saint Augustine, FL 32084
Phone
(904) 829-3475
Fax
(904) 808-9908

Other labs in Saint Augustine, FL

Related

Questions

What is the CLIA number for ST Augustine FL Opco LLC the Lilac at Bayview in Saint Augustine?

10D0645076, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Augustine FL Opco LLC the Lilac at Bayview hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D0645076 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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