10D0873514 CLIA NUMBER - JASON R MERCER MD PA

Laboratory Demographics

  • CLIA Code: 10D0873514
  • Facility Name: JASON R MERCER MD PA
  • Facility Address: 801 BEVILLE RD STE 201
    SOUTH DAYTONA, FL
    ZIP 32119
  • Facility Phone: 386 322-5200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON R. MERCER
  • NPI Number: 1962596437
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0873514
LAB Type Physician Office
Facility Name JASON R MERCER MD PA
Street 801 BEVILLE RD STE 201
City SOUTH DAYTONA
State FL
ZIP 32119
Phone 386 322-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director JASON R. MERCER

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