10D2197524 CLIA NUMBER - TALLAHASSEE DIAGNOSTIC IMAGING IN TALLAHASSEE MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 10D2197524
  • Facility Name: TALLAHASSEE DIAGNOSTIC IMAGING IN TALLAHASSEE MEMORIAL HOSPITAL
  • Facility Address: 1300 MICCOSUKEE RD
    TALLAHASSEE, FL
    ZIP 32308
  • Facility Phone: 850 878-4127
  • Facility Type: Other - DIAGNOSTIC IMAGING FACILI
  • Facility Type: Waiver
  • Lab Director: DAVID BURNS
  • NPI Number: 1639129521
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2197524
LAB Type Other - DIAGNOSTIC IMAGING FACILI
Facility Name TALLAHASSEE DIAGNOSTIC IMAGING IN TALLAHASSEE MEMORIAL HOSPITAL
Street 1300 MICCOSUKEE RD
City TALLAHASSEE
State FL
ZIP 32308
Phone 850 878-4127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Other - DIAGNOSTIC IMAGING FACILI
Lab Director DAVID BURNS

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