10D2253598 CLIA NUMBER - SOJOURN DIAGNOSTIC LLC

Laboratory Demographics

  • CLIA Code: 10D2253598
  • Facility Name: SOJOURN DIAGNOSTIC LLC
  • Facility Address: 1845 N MLK JR BLVD UNIT 3355
    TALLAHASSEE, FL
    ZIP 32315
  • Facility Phone: 850 345-0859
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: CHANTEL M. LEWIS
  • NPI Number: 1376284927
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2253598
LAB Type Mobile Laboratory
Facility Name SOJOURN DIAGNOSTIC LLC
Street 1845 N MLK JR BLVD UNIT 3355
City TALLAHASSEE
State FL
ZIP 32315
Phone 850 345-0859
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Mobile Laboratory
Lab Director CHANTEL M. LEWIS

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