10D0918039 CLIA NUMBER - BOND COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 10D0918039

Facility Name: BOND COMMUNITY HEALTH CENTER

Facility Address:
1720 SOUTH GADSDEN ST
TALLAHASSEE, FL
ZIP 32301
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Facility Phone Number: 850 576-4073

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1407109812

Taxonomy: 207QA0505X - Family Medicine
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

CLIA Record

Field Name	Field Value
CLIA Number	10D0918039
LAB Type	Federally Qualified Health Center
Facility Name	BOND COMMUNITY HEALTH CENTER
Street	1720 SOUTH GADSDEN ST
City	TALLAHASSEE
State	FL
ZIP	32301
Phone	850 576-4073
CertificateType	3
CertificateEffectiveDate	7/31/2022
CertificateExpirationDate	7/30/2024
FacilityType	PPMP

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