CLIA lab

CLIA 10D2330489: Crescent Beach Care LLC

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

CLIA number 10D2330489 belongs to Crescent Beach Care LLC in Saint Augustine, FL.

Certificate of Waiver, effective September 17, 2025, expires September 16, 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
September 17, 2025
Certificate expiration
September 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 17, 2025
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
10D2330489
Lab name
Crescent Beach Care LLC
Address
975 S Ponce De Leon Blvd, Saint Augustine, FL 32084
Phone
(904) 344-6125
Fax
(904) 342-7367

Annual test volume the lab reported

Waived tests
5,200

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

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Related

Questions

What is the CLIA number for Crescent Beach Care LLC in Saint Augustine?

10D2330489, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Crescent Beach Care LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2330489 expire?

The CMS file lists September 16, 2027 as the certificate expiration date; the certificate took effect September 17, 2025.

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