10D0683991 CLIA NUMBER - WAKULLA COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 10D0683991
  • Facility Name: WAKULLA COUNTY HEALTH DEPARTMENT
  • Facility Address: 48 OAK STREET
    CRAWFORDVILLE, FL
    ZIP 32327
  • Facility Phone: 850 926-0400
  • Facility Type: Public Health Laboratories
  • Facility Type: Microscopy
  • Lab Director: GEORGE STABEN RUST
  • NPI Number: 1104065010
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 10D0683991
LAB Type Public Health Laboratories
Facility Name WAKULLA COUNTY HEALTH DEPARTMENT
Street 48 OAK STREET
City CRAWFORDVILLE
State FL
ZIP 32327
Phone 850 926-0400
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Public Health Laboratories
Lab Director GEORGE STABEN RUST

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