10D2205670 CLIA NUMBER - TALLAHASSEE ORTHOPEDIC CLINIC

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Laboratory Demographics

CLIA Number: 10D2205670

Facility Name: TALLAHASSEE ORTHOPEDIC CLINIC

Facility Address:
3334 CAPITAL MEDICAL BLVD SUITE700
TALLAHASSEE, FL
ZIP 32308
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Facility Phone Number: 850 877-8174

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1902034317

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	10D2205670
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	TALLAHASSEE ORTHOPEDIC CLINIC
Street	3334 CAPITAL MEDICAL BLVD SUITE700
City	TALLAHASSEE
State	FL
ZIP	32308
Phone	850 877-8174
CertificateType	4
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024