CLIA lab
CLIA 10D2212163: Bold City Dermatology LLC
Saint Augustine, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2212163 belongs to Bold City Dermatology LLC in Saint Augustine, FL.
Certificate of Waiver, effective July 1, 2026, expires June 30, 2028.
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
- July 1, 2026
- Certificate expiration
- June 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 3, 2021
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D2212163
- Lab name
- Bold City Dermatology LLC
- Address
- 316 Paseo Reyes Dr, Saint Augustine, FL 32095
- Phone
- (904) 544-5800
- Fax
- (904) 544-5800
Annual test volume the lab reported
- Waived tests
- 200
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
- Accmed Health Care SystemsCertificate of Waiver, Physician office10D2014539
- Advanced Endovascular InstituteCertificate of Waiver, Physician office10D2217060
- Advanced Pain and Spine Institute of Florida, LLCCertificate of Waiver, Physician office10D2276961
- Advanced Urology Institute LLCCertificate of Waiver, Physician office10D0971933
- Adventhealth LabCertificate of Registration, Hospital10D2344626
- Amir A Malik MDCertificate of Waiver, Physician office10D0859149
- Anastasia Medical Group, LLCCertificate of Waiver, Physician office10D1060442
- Anastasia PediatricsCertificate of Waiver, Physician office10D1060446
- Ancient City PediatricsCertificate of Waiver, Physician office10D0267384
- Ansaarie Cardiac & Endovascular Center ofCertificate of Accreditation, Physician office10D2259424
Related
Questions
What is the CLIA number for Bold City Dermatology LLC in Saint Augustine?
10D2212163, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bold City Dermatology LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2212163 expire?
The CMS file lists June 30, 2028 as the certificate expiration date; the certificate took effect July 1, 2026.