10D1092283 CLIA NUMBER - TALLAHASSEE MEDICAL GROUP, PLLC

Laboratory Demographics

  • CLIA Code: 10D1092283
  • Facility Name: TALLAHASSEE MEDICAL GROUP, PLLC
  • Facility Address: 2915 KERRY FOREST PKWY SUITE 103
    TALLAHASSEE, FL
    ZIP 32309
  • Facility Phone: 850 907-0097
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTORIA L. SMITH
  • NPI Number: 1336697226
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 10D1092283
LAB Type Physician Office
Facility Name TALLAHASSEE MEDICAL GROUP, PLLC
Street 2915 KERRY FOREST PKWY SUITE 103
City TALLAHASSEE
State FL
ZIP 32309
Phone 850 907-0097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director VICTORIA L. SMITH

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