10D2295541 CLIA NUMBER - TALLAHASSEE MEMORIAL URGENT CARE CENTER- TENNESSEE STREET

Laboratory Demographics

  • CLIA Code: 10D2295541
  • Facility Name: TALLAHASSEE MEMORIAL URGENT CARE CENTER- TENNESSEE STREET
  • Facility Address: 410 WEST TENNESSEE STREET
    TALLAHASSEE, FL
    ZIP 32301
  • Facility Phone: 850 431-6262
  • Facility Type: Other - URGENT CARE CENTER
  • Facility Type: Microscopy
  • Lab Director: JOHN M. STREACKER
  • NPI Number: 1861006983
  • Taxonomy: 247ZC0005X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 10D2295541
LAB Type Other - URGENT CARE CENTER
Facility Name TALLAHASSEE MEMORIAL URGENT CARE CENTER- TENNESSEE STREET
Street 410 WEST TENNESSEE STREET
City TALLAHASSEE
State FL
ZIP 32301
Phone 850 431-6262
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Other - URGENT CARE CENTER
Lab Director JOHN M. STREACKER

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