10D2294760 CLIA NUMBER - ACKERMAN CANCER CENTER, PADBA AKERMAN UROLOGY

Laboratory Demographics

  • CLIA Code: 10D2294760
  • Facility Name: ACKERMAN CANCER CENTER, PADBA AKERMAN UROLOGY
  • Facility Address: 533 W TWINCOURT TRAIL, SUITE 701
    ST AUGUSTINE, FL
    ZIP 32095
  • Facility Phone: 904 490-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOT N. ACKERMAN
  • NPI Number: 1063191427
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2294760
LAB Type Physician Office
Facility Name ACKERMAN CANCER CENTER, PADBA AKERMAN UROLOGY
Street 533 W TWINCOURT TRAIL, SUITE 701
City ST AUGUSTINE
State FL
ZIP 32095
Phone 904 490-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Physician Office
Lab Director SCOT N. ACKERMAN

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