10D1092829 CLIA NUMBER - ST JOHNS COUNTY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 10D1092829
  • Facility Name: ST JOHNS COUNTY DETENTION CENTER
  • Facility Address: 3955 LEWIS SPEEDWAY
    SAINT AUGUSTINE, FL
    ZIP 32084
  • Facility Phone: 904 209-1988
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: ZEHRA CUMBER
  • NPI Number: 1629469762
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1092829
LAB Type Prison
Facility Name ST JOHNS COUNTY DETENTION CENTER
Street 3955 LEWIS SPEEDWAY
City SAINT AUGUSTINE
State FL
ZIP 32084
Phone 904 209-1988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Prison
Lab Director ZEHRA CUMBER

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