CLIA lab

CLIA 10D2315231: 904 Health Inc

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

CLIA number 10D2315231 belongs to 904 Health Inc in St Augustine, FL.

Certificate of Waiver, effective December 9, 2024, expires December 8, 2026.

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
December 9, 2024
Certificate expiration
December 8, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 9, 2024
Facility type
Community clinic
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2315231
Lab name
904 Health Inc
Address
3574 US 1 South Suite 101-104, St Augustine, FL 32086
Phone
(904) 900-1513
Fax
(904) 575-4944

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in St Augustine, FL

Related

Questions

What is the CLIA number for 904 Health Inc in St Augustine?

10D2315231, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 904 Health Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2315231 expire?

The CMS file lists December 8, 2026 as the certificate expiration date; the certificate took effect December 9, 2024.

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