CLIA lab

CLIA 10D2115561: Mill Creek MD

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

CLIA number 10D2115561 belongs to Mill Creek MD in Saint Augustine, FL.

Certificate of Waiver, effective July 11, 2026, expires July 10, 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
July 11, 2026
Certificate expiration
July 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 11, 2016
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
10D2115561
Lab name
Mill Creek MD
Address
130 Land Grant St Suite 2, Saint Augustine, FL 32092
Phone
(904) 910-7350
Fax
(904) 212-7350

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 Mill Creek MD in Saint Augustine?

10D2115561, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mill Creek MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2115561 expire?

The CMS file lists July 10, 2028 as the certificate expiration date; the certificate took effect July 11, 2026.

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