CLIA lab
CLIA 10D1055024: ST Vincents Ambulatory Care Inc DBA
Fernandina Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1055024 belongs to ST Vincents Ambulatory Care Inc DBA in Fernandina Beach, FL.
Certificate of Waiver, effective April 10, 2025, expires April 9, 2027.
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 10, 2025
- Certificate expiration
- April 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 7, 2006
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 10D1055024
- Lab name
- ST Vincents Ambulatory Care Inc DBA
- Additional name
- Ascension Medical Group ST Vincents
- Address
- 1699 S 14th St Ste 9, Fernandina Beach, FL 32034
- Phone
- (904) 450-8440
- Fax
- (904) 450-8619
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for ST Vincents Ambulatory Care Inc DBA in Fernandina Beach?
10D1055024, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Vincents Ambulatory Care Inc DBA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1055024 expire?
The CMS file lists April 9, 2027 as the certificate expiration date; the certificate took effect April 10, 2025.