10D0645082 CLIA NUMBER - ST JOHNS BIOMEDICAL LABORATORIES INC

Laboratory Demographics

  • CLIA Code: 10D0645082
  • Facility Name: ST JOHNS BIOMEDICAL LABORATORIES INC
  • Facility Address: 165 SOUTHPARK BLVD STE A
    SAINT AUGUSTINE, FL
    ZIP 32086
  • Facility Phone: 904 824-5497
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: EDWIN O. SIA
  • NPI Number: 1821001330
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D0645082
LAB Type Independent
Facility Name ST JOHNS BIOMEDICAL LABORATORIES INC
Street 165 SOUTHPARK BLVD STE A
City SAINT AUGUSTINE
State FL
ZIP 32086
Phone 904 824-5497
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Independent
Lab Director EDWIN O. SIA

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This page was last updated on: 9/29/2025