10D2263522 CLIA NUMBER - JEWELS CAPITAL PREVENTATIVE CARE

Laboratory Demographics

  • CLIA Code: 10D2263522
  • Facility Name: JEWELS CAPITAL PREVENTATIVE CARE
  • Facility Address: 8511 BULL HEADLEY RD STE 400
    TALLAHASSEE, FL
    ZIP 32312
  • Facility Phone: 850 779-0719
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JULIA TJANDERA
  • NPI Number: 1376285924
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2263522
LAB Type Practitioner Other
Facility Name JEWELS CAPITAL PREVENTATIVE CARE
Street 8511 BULL HEADLEY RD STE 400
City TALLAHASSEE
State FL
ZIP 32312
Phone 850 779-0719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Practitioner Other
Lab Director JULIA TJANDERA

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