10D2017198 CLIA NUMBER - SUNCREST OMNI

Laboratory Demographics

  • CLIA Code: 10D2017198
  • Facility Name: SUNCREST OMNI
  • Facility Address: 4004 NORTON LANE SUITE 103
    TALLAHASSEE, FL
    ZIP 32308
  • Facility Phone: 850 222-5552
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHANNON GRIFFIN
  • NPI Number: 1891024097
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2017198
LAB Type Home Health Agency
Facility Name SUNCREST OMNI
Street 4004 NORTON LANE SUITE 103
City TALLAHASSEE
State FL
ZIP 32308
Phone 850 222-5552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Home Health Agency
Lab Director SHANNON GRIFFIN

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This page was last updated on: 6/4/2025