10D1083467 CLIA NUMBER - BIG BEND HOSPICE INC

Laboratory Demographics

  • CLIA Code: 10D1083467
  • Facility Name: BIG BEND HOSPICE INC
  • Facility Address: 1723 MAHAN CENTER BLVD
    TALLAHASSEE, FL
    ZIP 32308
  • Facility Phone: 850 878-5310
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TINU AGBOOLA
  • NPI Number: 1033791199
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1083467
LAB Type Hospice
Facility Name BIG BEND HOSPICE INC
Street 1723 MAHAN CENTER BLVD
City TALLAHASSEE
State FL
ZIP 32308
Phone 850 878-5310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Hospice
Lab Director TINU AGBOOLA

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