10D2232845 CLIA NUMBER - ST AUGUSTINE FOOT & ANKLE INC

Laboratory Demographics

  • CLIA Code: 10D2232845
  • Facility Name: ST AUGUSTINE FOOT & ANKLE INC
  • Facility Address: 1 SAINT JOHNS MEDICAL PARK DR
    ST AUGUSTINE, FL
    ZIP 32086
  • Facility Phone: 904 824-0869
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: THOMAS A. LEBEAU
  • NPI Number: 1649409756
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2232845
LAB Type Physician Office
Facility Name ST AUGUSTINE FOOT & ANKLE INC
Street 1 SAINT JOHNS MEDICAL PARK DR
City ST AUGUSTINE
State FL
ZIP 32086
Phone 904 824-0869
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director THOMAS A. LEBEAU

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