10D2278543 CLIA NUMBER - FIRST COAST UROGYNECOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 10D2278543
  • Facility Name: FIRST COAST UROGYNECOLOGY, LLC
  • Facility Address: 101 EAST TOWN PLACE, SUITE 210B
    SAINT AUGUSTINE, FL
    ZIP 32092
  • Facility Phone: 904 853-6130
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEE EPSTEIN
  • NPI Number: 1366746695
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 10D2278543
LAB Type Physician Office
Facility Name FIRST COAST UROGYNECOLOGY, LLC
Street 101 EAST TOWN PLACE, SUITE 210B
City SAINT AUGUSTINE
State FL
ZIP 32092
Phone 904 853-6130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director LEE EPSTEIN

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