10D1001581 CLIA NUMBER - SAINT AUGUSTINE CBOC

Laboratory Demographics

  • CLIA Code: 10D1001581
  • Facility Name: SAINT AUGUSTINE CBOC
  • Facility Address: 100 DEERFIELD PRESERVE BOULEVARD
    SAINT AUGUSTINE, FL
    ZIP 32086
  • Facility Phone: 904 829-0814
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: ROBERT W. ALLAN
  • NPI Number: 1538788617
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 10D1001581
LAB Type Community Clinic
Facility Name SAINT AUGUSTINE CBOC
Street 100 DEERFIELD PRESERVE BOULEVARD
City SAINT AUGUSTINE
State FL
ZIP 32086
Phone 904 829-0814
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/15/2002
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director ROBERT W. ALLAN

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