10D2295626 CLIA NUMBER - BIG BEND HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 10D2295626
  • Facility Name: BIG BEND HOSPICE, INC
  • Facility Address: 1300 MICCOSUKEE RD, (MAIN HOSPITAL, FLOOR 3),
    TALLAHASSEE, FL
    ZIP 32308
  • Facility Phone: 850 878-5310
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MICHAELDE ANGELO TASCIER
  • NPI Number: 1396746103
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 10D2295626
LAB Type Hospice
Facility Name BIG BEND HOSPICE, INC
Street 1300 MICCOSUKEE RD, (MAIN HOSPITAL, FLOOR 3),
City TALLAHASSEE
State FL
ZIP 32308
Phone 850 878-5310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Hospice
Lab Director MICHAELDE ANGELO TASCIER

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