48D2019940 CLIA NUMBER - ST THOMAS RADIOLOGY ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 48D2019940
  • Facility Name: ST THOMAS RADIOLOGY ASSOCIATES LLC
  • Facility Address: 9149 ESTATE THOMAS, PARAGON MEDICAL BLDG STE 103
    ST THOMAS, VI
    ZIP 00802
  • Facility Phone: 340 774-0265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YURI E. PETERKIN
  • NPI Number: 1659385011
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 48D2019940
LAB Type Physician Office
Facility Name ST THOMAS RADIOLOGY ASSOCIATES LLC
Street 9149 ESTATE THOMAS, PARAGON MEDICAL BLDG STE 103
City ST THOMAS
State VI
ZIP 00802
Phone 340 774-0265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director YURI E. PETERKIN

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