10D2282061 CLIA NUMBER - SUNN MEDICAL, LLC

Laboratory Demographics

  • CLIA Code: 10D2282061
  • Facility Name: SUNN MEDICAL, LLC
  • Facility Address: 118 N. MONROE ST. SUITE 310
    TALLAHASSEE, FL
    ZIP 32301
  • Facility Phone: 850 755-2063
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KATORIA L. WESTBROOK
  • NPI Number: 1275213415
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2282061
LAB Type Practitioner Other
Facility Name SUNN MEDICAL, LLC
Street 118 N. MONROE ST. SUITE 310
City TALLAHASSEE
State FL
ZIP 32301
Phone 850 755-2063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Practitioner Other
Lab Director KATORIA L. WESTBROOK

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