10D2264072 CLIA NUMBER - RURAL URGENT CARE, LLC

Laboratory Demographics

CLIA Number: 10D2264072

Facility Name: RURAL URGENT CARE, LLC

Facility Address:
2615 N MONROE ST, STE 1
TALLAHASSEE, FL
ZIP 32303
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Facility Phone Number: 205 545-5085

Facility Type: Other - URGENT CARE/FAMILY CARE

Certificate Type: Waiver

NPI Number: 1750033734

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2264072
LAB Type	Other - URGENT CARE/FAMILY CARE
Facility Name	RURAL URGENT CARE, LLC
Street	2615 N MONROE ST, STE 1
City	TALLAHASSEE
State	FL
ZIP	32303
Phone	205 545-5085
CertificateType	4
CertificateEffectiveDate	7/11/2022
CertificateExpirationDate	7/10/2024
FacilityType	Waiver

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