10D0720236 CLIA NUMBER - APALACHEE CENTER INC DBA EASTSIDE PSYCHIATRIC HOSPITAL

Laboratory Demographics

  • CLIA Code: 10D0720236
  • Facility Name: APALACHEE CENTER INC DBA EASTSIDE PSYCHIATRIC HOSPITAL
  • Facility Address: 2634-B CAPITAL CIRCLE NE
    TALLAHASSEE, FL
    ZIP 32308
  • Facility Phone: 850 523-3333
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. GENEROSO MASANGKAY
  • NPI Number: 1033215504
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D0720236
LAB Type Other
Facility Name APALACHEE CENTER INC DBA EASTSIDE PSYCHIATRIC HOSPITAL
Street 2634-B CAPITAL CIRCLE NE
City TALLAHASSEE
State FL
ZIP 32308
Phone 850 523-3333
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 Other
Lab Director DR. GENEROSO MASANGKAY

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