CLIA lab
CLIA 10D2170397: Pediatrica of ST Johns
St Johns, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2170397 belongs to Pediatrica of ST Johns in St Johns, FL.
Certificate of Waiver, effective August 12, 2025, expires August 11, 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
- August 12, 2025
- Certificate expiration
- August 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 12, 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
- 10D2170397
- Lab name
- Pediatrica of ST Johns
- Address
- 3055 County Rd 210 Ste 105, St Johns, FL 32259
- Phone
- (904) 233-9100
- Fax
- (904) 913-8641
Annual test volume the lab reported
- Waived tests
- 3,062
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in St Johns, FL
- Advanced Dermatology and Cosmetic SurgeryCertificate of Waiver, Physician office10D2179926
- Ameripath Florida LLCCertificate of Compliance, Independent10D2283648
- Ascension ST Vincent's ST Johns CountyCertificate of Waiver, Hospital10D2261372
- Ascension ST Vincent's ST Johns CountyCertificate of Accreditation, Hospital10D2262174
- Ascension ST Vincents Urgent CareCertificate of Waiver, Physician office10D2151342
- Baptist Primary Care IncCertificate of Waiver, Physician office10D1002177
- Baptist Primary Care, IncCertificate of Waiver, Physician office10D1037279
- Baptist Primary Care, Inc.Certificate of Waiver, Physician office10D2169012
- Bloom Pediatrics PLLCCertificate of Waiver, Other practitioner10D2283168
- Borland Groover ClinicCertificate of Waiver, Physician office10D2014724
Related
Questions
What is the CLIA number for Pediatrica of ST Johns in St Johns?
10D2170397, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatrica of ST Johns hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2170397 expire?
The CMS file lists August 11, 2027 as the certificate expiration date; the certificate took effect August 12, 2025.