10D2019507 CLIA NUMBER - FLORIDA ENT ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2019507
  • Facility Name: FLORIDA ENT ASSOCIATES
  • Facility Address: 3 SAN BARTOLA DR
    SAINT AUGUSTINE, FL
    ZIP 32086
  • Facility Phone: 904 823-8823
  • Facility Type: Other - OFFICE BASED SURGERY
  • Facility Type: Waiver
  • Lab Director: DEIDRE ANDERSON
  • NPI Number: 1184625733
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 10D2019507
LAB Type Other - OFFICE BASED SURGERY
Facility Name FLORIDA ENT ASSOCIATES
Street 3 SAN BARTOLA DR
City SAINT AUGUSTINE
State FL
ZIP 32086
Phone 904 823-8823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Other - OFFICE BASED SURGERY
Lab Director DEIDRE ANDERSON

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