10D0863077 CLIA NUMBER - PARKSIDE HEALTH AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 10D0863077
  • Facility Name: PARKSIDE HEALTH AND REHABILITATION CENTER
  • Facility Address: 451 SOUTH AMELIA AVENUE
    DE LAND, FL
    ZIP 32724
  • Facility Phone: 386 734-8614
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THERESA FINN
  • NPI Number: 1932711330
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0863077
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARKSIDE HEALTH AND REHABILITATION CENTER
Street 451 SOUTH AMELIA AVENUE
City DE LAND
State FL
ZIP 32724
Phone 386 734-8614
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 THERESA FINN

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