10D2121631 CLIA NUMBER - FM MEDICAL INC

Laboratory Demographics

  • CLIA Code: 10D2121631
  • Facility Name: FM MEDICAL INC
  • Facility Address: 3560 A1A S
    SAINT AUGUSTINE, FL
    ZIP 32080
  • Facility Phone: 904 429-9783
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT MICHAELS
  • NPI Number: 1588091029
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2121631
LAB Type Physician Office
Facility Name FM MEDICAL INC
Street 3560 A1A S
City SAINT AUGUSTINE
State FL
ZIP 32080
Phone 904 429-9783
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director SCOTT MICHAELS

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