CLIA lab
CLIA 10D1039919: Southlake Direct Primary Care PLLC
Saint Augustine, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1039919 belongs to Southlake Direct Primary Care PLLC in Saint Augustine, FL.
Certificate of Waiver, effective April 7, 2026, expires April 6, 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
- April 7, 2026
- Certificate expiration
- April 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 26, 2005
- 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
- 10D1039919
- Lab name
- Southlake Direct Primary Care PLLC
- Address
- 308 Kingsley Lake Dr - Ste 802, Saint Augustine, FL 32092
- Phone
- (904) 827-0788
- Fax
- (904) 827-0238
Annual test volume the lab reported
- Waived tests
- 1,000
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
- Ancient City PediatricsCertificate of Waiver, Physician office10D0267384
- Ansaarie Cardiac & Endovascular Center ofCertificate of Accreditation, Physician office10D2259424
Related
Questions
What is the CLIA number for Southlake Direct Primary Care PLLC in Saint Augustine?
10D1039919, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southlake Direct Primary Care PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1039919 expire?
The CMS file lists April 6, 2028 as the certificate expiration date; the certificate took effect April 7, 2026.