10D0294896 CLIA NUMBER - GULF COAST VILLAGE

Laboratory Demographics

  • CLIA Code: 10D0294896
  • Facility Name: GULF COAST VILLAGE
  • Facility Address: 1333 SANTA BARBARA BLVD
    CAPE CORAL, FL
    ZIP 33991
  • Facility Phone: 239 772-1333
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAWN STANFIELD
  • NPI Number: 1962403287
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0294896
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GULF COAST VILLAGE
Street 1333 SANTA BARBARA BLVD
City CAPE CORAL
State FL
ZIP 33991
Phone 239 772-1333
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 DAWN STANFIELD

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