10D0026211 CLIA NUMBER - AVIATA AT LAKESIDE OAKS

Laboratory Demographics

  • CLIA Code: 10D0026211
  • Facility Name: AVIATA AT LAKESIDE OAKS
  • Facility Address: 1061 VIRGINIA ST
    DUNEDIN, FL
    ZIP 34698
  • Facility Phone: 727 733-4189
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAULINE INTAL-CARR
  • NPI Number: 1174892947
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0026211
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVIATA AT LAKESIDE OAKS
Street 1061 VIRGINIA ST
City DUNEDIN
State FL
ZIP 34698
Phone 727 733-4189
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PAULINE INTAL-CARR

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