CLIA lab
CLIA 10D1105858: ST Vincents Ambulatory Care Inc DBA
Middleburg, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1105858 belongs to ST Vincents Ambulatory Care Inc DBA in Middleburg, FL.
Certificate of Waiver, effective September 30, 2025, expires September 29, 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
- September 30, 2025
- Certificate expiration
- September 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2009
- 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
- 10D1105858
- Lab name
- ST Vincents Ambulatory Care Inc DBA
- Additional name
- Ascension Medical Group ST Vincents
- Address
- 1658 St Vincent Way Ste 300, Middleburg, FL 32068
- Phone
- (904) 276-5100
- Fax
- (904) 276-5393
Annual test volume the lab reported
- Waived tests
- 2,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Middleburg, FL
- Ackerman UrologyCertificate of Waiver, Physician office10D2199687
- Ascension ST Vincent's Clay CountyCertificate of Accreditation, Hospital10D2064863
- Ascension ST Vincents Clay CountyCertificate of Waiver, Hospital10D2063915
- Ashchi Heart and Vascular CenterCertificate of Waiver, Physician office10D2123622
- Cancer Specialists LLCCertificate of Accreditation, Physician office10D1082129
- Canterfield of Clay CountyCertificate of Waiver, Assisted living facility10D2131691
- Carespot Express HealthcareCertificate of Waiver, Other10D2073231
- Clay County DialysisCertificate of Waiver, End stage renal disease dialysis facility10D2082305
- Coastal Injury Clinic LLCCertificate of Waiver, Physician office10D2221489
- Conviva Medical Center Management LLCCertificate of Waiver, Physician office10D2058671
Related
Questions
What is the CLIA number for ST Vincents Ambulatory Care Inc DBA in Middleburg?
10D1105858, 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 10D1105858 expire?
The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.