10D0675733 CLIA NUMBER - VILLAGE PLACE HEALTHCARE AND REHABILITATION CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D0675733
  • Facility Name: VILLAGE PLACE HEALTHCARE AND REHABILITATION CENTER LLC
  • Facility Address: 2370 HARBOR BLVD
    PORT CHARLOTTE, FL
    ZIP 33952
  • Facility Phone: 941 624-5966
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA D. SHEPARD
  • NPI Number: 1801062880
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0675733
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VILLAGE PLACE HEALTHCARE AND REHABILITATION CENTER LLC
Street 2370 HARBOR BLVD
City PORT CHARLOTTE
State FL
ZIP 33952
Phone 941 624-5966
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 MELISSA D. SHEPARD

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