CLIA lab

CLIA 10D2162058: ST Augustine Primary Care PL

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

CLIA number 10D2162058 belongs to ST Augustine Primary Care PL in St Augustine, FL.

Certificate of Waiver, effective February 15, 2025, expires February 14, 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 15, 2025
Certificate expiration
February 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 15, 2019
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
10D2162058
Lab name
ST Augustine Primary Care PL
Address
811 SR 206 E Unit #3, St Augustine, FL 32086
Phone
(904) 342-2989
Fax
(904) 824-6243

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.

Other labs in St Augustine, FL

Related

Questions

What is the CLIA number for ST Augustine Primary Care PL in St Augustine?

10D2162058, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Augustine Primary Care PL hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2162058 expire?

The CMS file lists February 14, 2027 as the certificate expiration date; the certificate took effect February 15, 2025.

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