CLIA lab
CLIA 10D2212290: Walgreens # 11165
Saint Augustine, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2212290 belongs to Walgreens # 11165 in Saint Augustine, FL.
Certificate of Waiver, effective February 3, 2025, expires February 2, 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 3, 2025
- Certificate expiration
- February 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 3, 2021
- Facility type
- Pharmacy
- 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
- 10D2212290
- Lab name
- Walgreens # 11165
- Address
- 5445 State Road 16, Saint Augustine, FL 32092
- Phone
- (904) 940-5556
- Fax
- (904) 940-8965
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 Walgreens # 11165 in Saint Augustine?
10D2212290, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens # 11165 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2212290 expire?
The CMS file lists February 2, 2027 as the certificate expiration date; the certificate took effect February 3, 2025.