CLIA lab
CLIA 10D2158379: ST Johns Recovery Place LLC
Crescent City, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2158379 belongs to ST Johns Recovery Place LLC in Crescent City, FL.
Certificate of Waiver, effective November 28, 2024, expires November 27, 2026.
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
- November 28, 2024
- Certificate expiration
- November 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 28, 2018
- Facility type
- Other
- 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
- 10D2158379
- Lab name
- ST Johns Recovery Place LLC
- Address
- 1125 N Summit St, Crescent City, FL 32112
- Phone
- (954) 945-2984
- Fax
- (904) 990-1201
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Crescent City, FL
- Beyond Venacare Services LLCCertificate of Waiver, Other10D2313375
- Community Medical CenterCertificate of Waiver, Physician office10D0943855
- Express Family Care LLCCertificate of Waiver, Physician office10D2054325
- Florida Department of HealthCertificate of Waiver, Other10D2283915
- Island Doctors of South Crescent CityCertificate of Waiver, Physician office10D0994869
- New Horizon Facility IncCertificate of Waiver, Assisted living facility10D1066582
- Pavilion at Crescent Lake for Nursing, theCertificate of Waiver, Skilled nursing or nursing facility10D0267489
- Putnam County Medical MissionCertificate of Waiver, Other10D2091194
Related
Questions
What is the CLIA number for ST Johns Recovery Place LLC in Crescent City?
10D2158379, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Johns Recovery Place LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2158379 expire?
The CMS file lists November 27, 2026 as the certificate expiration date; the certificate took effect November 28, 2024.