10D0857586 CLIA NUMBER - AVIATA AT THE GARDENS- TALLAHASSEE

Laboratory Demographics

  • CLIA Code: 10D0857586
  • Facility Name: AVIATA AT THE GARDENS- TALLAHASSEE
  • Facility Address: 1650 PHILLIPS ROAD
    TALLAHASSEE, FL
    ZIP 32308
  • Facility Phone: 770 730-1117
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TIMOTHY A. SHANKS
  • NPI Number: 1528081403
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0857586
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVIATA AT THE GARDENS- TALLAHASSEE
Street 1650 PHILLIPS ROAD
City TALLAHASSEE
State FL
ZIP 32308
Phone 770 730-1117
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 TIMOTHY A. SHANKS

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