10D0710541 CLIA NUMBER - BRANDON FACILITY OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 10D0710541
  • Facility Name: BRANDON FACILITY OPERATIONS LLC
  • Facility Address: 701 VICTORIA ST
    BRANDON, FL
    ZIP 33510
  • Facility Phone: 813 681-4220
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY LUCADANO
  • NPI Number: 1780606715
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0710541
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRANDON FACILITY OPERATIONS LLC
Street 701 VICTORIA ST
City BRANDON
State FL
ZIP 33510
Phone 813 681-4220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KIMBERLY LUCADANO

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