10D0710401 CLIA NUMBER - AVIATA AT WEST PALM BEACH

Laboratory Demographics

  • CLIA Code: 10D0710401
  • Facility Name: AVIATA AT WEST PALM BEACH
  • Facility Address: 5065 WALLIS RD
    WEST PALM BEACH, FL
    ZIP 33415
  • Facility Phone: 561 689-1799
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RUSSELL BLACKMAN
  • NPI Number: 1891064549
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0710401
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVIATA AT WEST PALM BEACH
Street 5065 WALLIS RD
City WEST PALM BEACH
State FL
ZIP 33415
Phone 561 689-1799
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 RUSSELL BLACKMAN

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