10D2104868 CLIA NUMBER - EAST TALLAHASSEE HOME TRAINING

Laboratory Demographics

  • CLIA Code: 10D2104868
  • Facility Name: EAST TALLAHASSEE HOME TRAINING
  • Facility Address: 2417 MILL CREEK LN UNIT 3
    TALLAHASSEE, FL
    ZIP 32309
  • Facility Phone: 850 297-0435
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HAROLD DOLL JR
  • NPI Number: 1902277445
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2104868
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EAST TALLAHASSEE HOME TRAINING
Street 2417 MILL CREEK LN UNIT 3
City TALLAHASSEE
State FL
ZIP 32309
Phone 850 297-0435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HAROLD DOLL JR

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