10D2015747 CLIA NUMBER - OB GYN ASSOCIATES OF ST AUGUSTINE LLC

Laboratory Demographics

  • CLIA Code: 10D2015747
  • Facility Name: OB GYN ASSOCIATES OF ST AUGUSTINE LLC
  • Facility Address: 5 BOULDER ROCK DR STE D
    PALM COAST, FL
    ZIP 32137
  • Facility Phone: 904 819-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREN TOPPI
  • NPI Number: 1659337756
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D2015747
LAB Type Physician Office
Facility Name OB GYN ASSOCIATES OF ST AUGUSTINE LLC
Street 5 BOULDER ROCK DR STE D
City PALM COAST
State FL
ZIP 32137
Phone 904 819-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Physician Office
Lab Director KAREN TOPPI

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This page was last updated on: 3/20/2025