CLIA lab
CLIA 10D0645078: Moultrie Creek Nursing and Rehab Center
Saint Augustine, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0645078 belongs to Moultrie Creek Nursing and Rehab Center 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
- January 5, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 10D0645078
- Lab name
- Moultrie Creek Nursing and Rehab Center
- Address
- 200 Mariner Health Way, Saint Augustine, FL 32086
- Phone
- (904) 797-1800
- Fax
- (904) 797-1803
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Moultrie Creek Nursing and Rehab CenterCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Moultrie Creek Nursing and Rehab Center in Saint Augustine?
10D0645078, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Moultrie Creek Nursing and Rehab Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0645078 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.