10D1025106 CLIA NUMBER - ST AUGUSTINE PLANTATION

Laboratory Demographics

  • CLIA Code: 10D1025106
  • Facility Name: ST AUGUSTINE PLANTATION
  • Facility Address: 2507 OLD ST AUGUSTINE RD
    TALLAHASSEE, FL
    ZIP 32301
  • Facility Phone: 850 309-1982
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MEGAN GRIFFIN
  • NPI Number: 1902108418
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1025106
LAB Type Assisted Living Facility
Facility Name ST AUGUSTINE PLANTATION
Street 2507 OLD ST AUGUSTINE RD
City TALLAHASSEE
State FL
ZIP 32301
Phone 850 309-1982
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Assisted Living Facility
Lab Director MEGAN GRIFFIN

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