10D0976186 CLIA NUMBER - ST AUGUSTINE CARDIOLOGY ASSOC PA

Laboratory Demographics

  • CLIA Code: 10D0976186
  • Facility Name: ST AUGUSTINE CARDIOLOGY ASSOC PA
  • Facility Address: 201 HEALTH PARK BLVD SUITE 105
    SAINT AUGUSTINE, FL
    ZIP 32086
  • Facility Phone: 904 824-1776
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT SIGNOR
  • NPI Number: 1588768147
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0976186
LAB Type Physician Office
Facility Name ST AUGUSTINE CARDIOLOGY ASSOC PA
Street 201 HEALTH PARK BLVD SUITE 105
City SAINT AUGUSTINE
State FL
ZIP 32086
Phone 904 824-1776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director ROBERT SIGNOR

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