CLIA lab

CLIA 10D2008162: Clyde E Lassen State Veterans Nursing Home

Saint Augustine, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2008162 belongs to Clyde E Lassen State Veterans Nursing Home in Saint Augustine, FL.

Certificate of Waiver, effective June 7, 2026, expires June 6, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
June 7, 2026
Certificate expiration
June 6, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 7, 2010
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Government, state
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2008162
Lab name
Clyde E Lassen State Veterans Nursing Home
Address
4650 SR 16, Saint Augustine, FL 32092
Phone
(904) 940-9913
Fax
(904) 940-9913

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Clyde E Lassen State Veterans Nursing Home in Saint Augustine?

10D2008162, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Clyde E Lassen State Veterans Nursing Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2008162 expire?

The CMS file lists June 6, 2028 as the certificate expiration date; the certificate took effect June 7, 2026.

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