10D1050102 CLIA NUMBER - SHAUN E LAURIE MD PA

Laboratory Demographics

  • CLIA Code: 10D1050102
  • Facility Name: SHAUN E LAURIE MD PA
  • Facility Address: 1628 N PLAZA DR
    TALLAHASSEE, FL
    ZIP 32308
  • Facility Phone: 850 570-5789
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAUN E. LAURIE
  • NPI Number: 1952344285
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1050102
LAB Type Physician Office
Facility Name SHAUN E LAURIE MD PA
Street 1628 N PLAZA DR
City TALLAHASSEE
State FL
ZIP 32308
Phone 850 570-5789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Physician Office
Lab Director SHAUN E. LAURIE

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This page was last updated on: 6/4/2025