10D2055467 CLIA NUMBER - STANLEY COHEN DO PA

Laboratory Demographics

  • CLIA Code: 10D2055467
  • Facility Name: STANLEY COHEN DO PA
  • Facility Address: 354 PASEO REYES DR
    SAINT AUGUSTINE, FL
    ZIP 32095
  • Facility Phone: 904 808-8595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STANLEY A. COHEN
  • NPI Number: 1457437584
  • Taxonomy: 2084P0804X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2055467
LAB Type Physician Office
Facility Name STANLEY COHEN DO PA
Street 354 PASEO REYES DR
City SAINT AUGUSTINE
State FL
ZIP 32095
Phone 904 808-8595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director STANLEY A. COHEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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