10D0900300 CLIA NUMBER - NEIGHBORHOOD MEDICAL CENTER INC

Laboratory Demographics

CLIA Number: 10D0900300

Facility Name: NEIGHBORHOOD MEDICAL CENTER INC

Facility Address:
438 W BREVARD ST
TALLAHASSEE, FL
ZIP 32301
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Facility Phone Number: 850 224-2469

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1487869467

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0900300
LAB Type	Federally Qualified Health Center
Facility Name	NEIGHBORHOOD MEDICAL CENTER INC
Street	438 W BREVARD ST
City	TALLAHASSEE
State	FL
ZIP	32301
Phone	850 224-2469
CertificateType	3
CertificateEffectiveDate	4/21/2023
CertificateExpirationDate	4/20/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024