10D2173608 CLIA NUMBER - CAPITAL HEALTH PLAN

Laboratory Demographics

  • CLIA Code: 10D2173608
  • Facility Name: CAPITAL HEALTH PLAN
  • Facility Address: 1264 METROPOLITAN BLVD
    TALLAHASSEE, FL
    ZIP 32312
  • Facility Phone: 850 383-3378
  • Facility Type: Health Main. Organization
  • Facility Type: Microscopy
  • Lab Director: AMY R. NEAL
  • NPI Number: 1407499593
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 10D2173608
LAB Type Health Main. Organization
Facility Name CAPITAL HEALTH PLAN
Street 1264 METROPOLITAN BLVD
City TALLAHASSEE
State FL
ZIP 32312
Phone 850 383-3378
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 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Health Main. Organization
Lab Director AMY R. NEAL

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