10D2061481 CLIA NUMBER - CHARLES W KENT MD INC

Laboratory Demographics

  • CLIA Code: 10D2061481
  • Facility Name: CHARLES W KENT MD INC
  • Facility Address: 3301 THOMASVILLE RD STE A200
    TALLAHASSEE, FL
    ZIP 32308
  • Facility Phone: 850 391-9622
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES W. KENT
  • NPI Number: 1205891850
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2061481
LAB Type Physician Office
Facility Name CHARLES W KENT MD INC
Street 3301 THOMASVILLE RD STE A200
City TALLAHASSEE
State FL
ZIP 32308
Phone 850 391-9622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Physician Office
Lab Director CHARLES W. KENT

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