10D0943865 CLIA NUMBER - MASON H LONG MD

Laboratory Demographics

  • CLIA Code: 10D0943865
  • Facility Name: MASON H LONG MD
  • Facility Address: 301 HEALTH PARK BLVD #325
    SAINT AUGUSTINE, FL
    ZIP 32086
  • Facility Phone: 904 824-6164
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MASON H. LONG
  • NPI Number: 1790854537
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0943865
LAB Type Physician Office
Facility Name MASON H LONG MD
Street 301 HEALTH PARK BLVD #325
City SAINT AUGUSTINE
State FL
ZIP 32086
Phone 904 824-6164
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director MASON H. LONG

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