CLIA lab

CLIA 10D2121631: FM Medical Inc

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

CLIA number 10D2121631 belongs to FM Medical Inc in Saint Augustine, FL.

Certificate of Waiver, effective May 20, 2025, expires May 19, 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
May 20, 2025
Certificate expiration
May 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 9, 2016
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2121631
Lab name
FM Medical Inc
Address
3560 A1A S, Saint Augustine, FL 32080
Phone
(904) 429-9783
Fax
(904) 429-9783

Annual test volume the lab reported

Waived tests
3,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Saint Augustine, FL

Related

Questions

What is the CLIA number for FM Medical Inc in Saint Augustine?

10D2121631, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does FM Medical Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2121631 expire?

The CMS file lists May 19, 2027 as the certificate expiration date; the certificate took effect May 20, 2025.

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