10D1075936 CLIA NUMBER - DISC VILLAGE INC

Laboratory Demographics

  • CLIA Code: 10D1075936
  • Facility Name: DISC VILLAGE INC
  • Facility Address: 3333 WEST PENSACOLA STREET
    TALLAHASSEE, FL
    ZIP 32304
  • Facility Phone: 850 414-7545
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARIE HODGES
  • NPI Number: 1376613463
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D1075936
LAB Type Other
Facility Name DISC VILLAGE INC
Street 3333 WEST PENSACOLA STREET
City TALLAHASSEE
State FL
ZIP 32304
Phone 850 414-7545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Other
Lab Director MARIE HODGES

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