10D0725853 CLIA NUMBER - PLYMOUTH HARBOR INCORPORATED

Laboratory Demographics

  • CLIA Code: 10D0725853
  • Facility Name: PLYMOUTH HARBOR INCORPORATED
  • Facility Address: 700 JOHN RINGLING BLVD
    SARASOTA, FL
    ZIP 34236
  • Facility Phone: 941 365-2600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA R. MALIWACKII
  • NPI Number: 1952364572
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0725853
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PLYMOUTH HARBOR INCORPORATED
Street 700 JOHN RINGLING BLVD
City SARASOTA
State FL
ZIP 34236
Phone 941 365-2600
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 ALEXANDRA R. MALIWACKII

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