10D0712913 CLIA NUMBER - NORTH LAKE NURSING AND REHAB LLC

Laboratory Demographics

  • CLIA Code: 10D0712913
  • Facility Name: NORTH LAKE NURSING AND REHAB LLC
  • Facility Address: 750 BAYBERRY DR
    LAKE PARK, FL
    ZIP 33403
  • Facility Phone: 561 881-8144
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KERSTIEN R. WILLIAMS
  • NPI Number: 1083091441
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0712913
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTH LAKE NURSING AND REHAB LLC
Street 750 BAYBERRY DR
City LAKE PARK
State FL
ZIP 33403
Phone 561 881-8144
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 KERSTIEN R. WILLIAMS

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