10D2304036 CLIA NUMBER - SUNSHINE PEDIATRICS OF ST AUGUSTINE

Laboratory Demographics

  • CLIA Code: 10D2304036
  • Facility Name: SUNSHINE PEDIATRICS OF ST AUGUSTINE
  • Facility Address: 101 WHITEHALL DRIVE UNIT 108
    ST AUGUSTINE, FL
    ZIP 32086
  • Facility Phone: 904 615-1794
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHELBY H. CLINE
  • NPI Number: 1265862411
  • Taxonomy: 225XP0200X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 10D2304036
LAB Type Physician Office
Facility Name SUNSHINE PEDIATRICS OF ST AUGUSTINE
Street 101 WHITEHALL DRIVE UNIT 108
City ST AUGUSTINE
State FL
ZIP 32086
Phone 904 615-1794
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director SHELBY H. CLINE

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