10D1009892 CLIA NUMBER - DOWN HOME MEDICAL

Laboratory Demographics

  • CLIA Code: 10D1009892
  • Facility Name: DOWN HOME MEDICAL
  • Facility Address: 312 S WASHINGTON ST
    MADISON, FL
    ZIP 32340
  • Facility Phone: 850 973-4590
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL O. STICK
  • NPI Number: 1194701862
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D1009892
LAB Type Physician Office
Facility Name DOWN HOME MEDICAL
Street 312 S WASHINGTON ST
City MADISON
State FL
ZIP 32340
Phone 850 973-4590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director MICHAEL O. STICK

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