10D0645490 CLIA NUMBER - LAKE WORTH REHABILITATION CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D0645490
  • Facility Name: LAKE WORTH REHABILITATION CENTER LLC
  • Facility Address: 1201 12 AVE S
    LAKE WORTH, FL
    ZIP 33460
  • Facility Phone: 561 586-7404
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CAROLINA I. SANCHEZ
  • NPI Number: 1013070002
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0645490
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAKE WORTH REHABILITATION CENTER LLC
Street 1201 12 AVE S
City LAKE WORTH
State FL
ZIP 33460
Phone 561 586-7404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CAROLINA I. SANCHEZ

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