10D0963647 CLIA NUMBER - JOHN T MACKAY MD

Laboratory Demographics

  • CLIA Code: 10D0963647
  • Facility Name: JOHN T MACKAY MD
  • Facility Address: 1216 N MONROE ST STE 3
    TALLAHASSEE, FL
    ZIP 32303
  • Facility Phone: 850 877-8171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN T. MACKAY MD
  • NPI Number: 1942267844
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0963647
LAB Type Physician Office
Facility Name JOHN T MACKAY MD
Street 1216 N MONROE ST STE 3
City TALLAHASSEE
State FL
ZIP 32303
Phone 850 877-8171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Physician Office
Lab Director JOHN T. MACKAY MD

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