CLIA lab

CLIA 10D2161893: The Addison of ST Johns

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

CLIA number 10D2161893 belongs to The Addison of ST Johns in Saint Augustine, FL.

Certificate of Waiver, effective February 13, 2025, expires February 12, 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
February 13, 2025
Certificate expiration
February 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 13, 2019
Facility type
Assisted living facility
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
10D2161893
Lab name
The Addison of ST Johns
Address
115 Benton Lane, Saint Augustine, FL 32092
Phone
(904) 560-8300
Fax
(678) 297-0384

Annual test volume the lab reported

Waived tests
984

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 The Addison of ST Johns in Saint Augustine?

10D2161893, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does The Addison of ST Johns hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2161893 expire?

The CMS file lists February 12, 2027 as the certificate expiration date; the certificate took effect February 13, 2025.

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