10D2308030 CLIA NUMBER - CANCER SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 10D2308030
  • Facility Name: CANCER SPECIALISTS LLC
  • Facility Address: 300 SAINT ELIZABETH WAY STE 230
    ST JOHNS, FL
    ZIP 32259
  • Facility Phone: 904 829-0443
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SUPRITH BADARINATH
  • NPI Number: 1841861275
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2308030
LAB Type Physician Office
Facility Name CANCER SPECIALISTS LLC
Street 300 SAINT ELIZABETH WAY STE 230
City ST JOHNS
State FL
ZIP 32259
Phone 904 829-0443
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 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director SUPRITH BADARINATH

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