10D2320700 CLIA NUMBER - LIFESPAN PSYCHIATRIC SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 10D2320700
  • Facility Name: LIFESPAN PSYCHIATRIC SERVICES, LLC
  • Facility Address: 3606 MACLAY BLVD S, STE 102
    TALLAHASSEE, FL
    ZIP 32312
  • Facility Phone: 850 999-2996
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JULIANNE K. FOLSOM
  • NPI Number: 1659940377
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2320700
LAB Type Practitioner Other
Facility Name LIFESPAN PSYCHIATRIC SERVICES, LLC
Street 3606 MACLAY BLVD S, STE 102
City TALLAHASSEE
State FL
ZIP 32312
Phone 850 999-2996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Practitioner Other
Lab Director JULIANNE K. FOLSOM

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