10D0870484 CLIA NUMBER - ISLAND DOCTORS

Laboratory Demographics

  • CLIA Code: 10D0870484
  • Facility Name: ISLAND DOCTORS
  • Facility Address: 100 ARRICOLA AVENUE
    SAINT AUGUSTINE, FL
    ZIP 32080
  • Facility Phone: 904 825-4368
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROY H. HINMAN II
  • NPI Number: 1568083889
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0870484
LAB Type Physician Office
Facility Name ISLAND DOCTORS
Street 100 ARRICOLA AVENUE
City SAINT AUGUSTINE
State FL
ZIP 32080
Phone 904 825-4368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ROY H. HINMAN II

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