10D1074309 CLIA NUMBER - PHILBERT J FORD MD PA

Laboratory Demographics

  • CLIA Code: 10D1074309
  • Facility Name: PHILBERT J FORD MD PA
  • Facility Address: 2009 MICCOSUKEE RD
    TALLAHASSEE, FL
    ZIP 32309
  • Facility Phone: 850 942-2299
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILBERT J. FORD
  • NPI Number: 1891711776
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1074309
LAB Type Physician Office
Facility Name PHILBERT J FORD MD PA
Street 2009 MICCOSUKEE RD
City TALLAHASSEE
State FL
ZIP 32309
Phone 850 942-2299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Physician Office
Lab Director PHILBERT J. FORD

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