10D0022977 CLIA NUMBER - FLORIDA MENTOR II LLC

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CLIA Record

Field Name Field Value
CLIA Number 10D0022977
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name FLORIDA MENTOR II LLC
Street 455 APPLEYARD DR
City TALLAHASSEE
State FL
ZIP 32304
Phone 850 575-0619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director DR. WILLIAM EFFINGER

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