10D1019908 CLIA NUMBER - LINA L FEASTER PA

Laboratory Demographics

  • CLIA Code: 10D1019908
  • Facility Name: LINA L FEASTER PA
  • Facility Address: 105 MARINER HEALTH WAY SUITE 207
    SAINT AUGUSTINE, FL
    ZIP 32086
  • Facility Phone: (904) 794-2424
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINA L. FEASTER
  • NPI Number: 1922205251
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1019908
LAB Type Physician Office
Facility Name LINA L FEASTER PA
Street 105 MARINER HEALTH WAY SUITE 207
City SAINT AUGUSTINE
State FL
ZIP 32086
Phone 9047942424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2025
Certificate Expiration Date 12/4/2027
Facility Type Physician Office
Lab Director LINA L. FEASTER

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This page was last updated on: 5/18/2026