10D2085256 CLIA NUMBER - TALLAHASSEE MEMORIAL EMERGENCY CENTER NORTHEAST PPM

Laboratory Demographics

  • CLIA Code: 10D2085256
  • Facility Name: TALLAHASSEE MEMORIAL EMERGENCY CENTER NORTHEAST PPM
  • Facility Address: 1260 METROPOLITAN BLVD
    TALLAHASSEE, FL
    ZIP 32312
  • Facility Phone: 850 431-5818
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: DR. DEAN D. WATSON
  • NPI Number: 1851938153
  • Taxonomy: 1223E0200X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 10D2085256
LAB Type Hospital
Facility Name TALLAHASSEE MEMORIAL EMERGENCY CENTER NORTHEAST PPM
Street 1260 METROPOLITAN BLVD
City TALLAHASSEE
State FL
ZIP 32312
Phone 850 431-5818
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Hospital
Lab Director DR. DEAN D. WATSON

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