10D2303819 CLIA NUMBER - OLIVE BRANCH PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 10D2303819
  • Facility Name: OLIVE BRANCH PSYCHIATRY
  • Facility Address: 35 SE 1ST AVE SUITE 200J
    OCALA, FL
    ZIP 34471
  • Facility Phone: 352 234-3332
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE B. CRUSE
  • NPI Number: 1215611330
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2303819
LAB Type Physician Office
Facility Name OLIVE BRANCH PSYCHIATRY
Street 35 SE 1ST AVE SUITE 200J
City OCALA
State FL
ZIP 34471
Phone 352 234-3332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director JULIE B. CRUSE

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