10D0273183 CLIA NUMBER - DEBARY MANOR OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 10D0273183
  • Facility Name: DEBARY MANOR OPERATIONS LLC
  • Facility Address: 60 N CHARLES RICHARD BEALL BLVD
    DEBARY, FL
    ZIP 32713
  • Facility Phone: 386 668-4426
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LEROY G. COX
  • NPI Number: 1487813382
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0273183
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DEBARY MANOR OPERATIONS LLC
Street 60 N CHARLES RICHARD BEALL BLVD
City DEBARY
State FL
ZIP 32713
Phone 386 668-4426
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 LEROY G. COX

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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