10D0879097 CLIA NUMBER - AVIATA AT THE SEA - HARBOR BEACH

Laboratory Demographics

  • CLIA Code: 10D0879097
  • Facility Name: AVIATA AT THE SEA - HARBOR BEACH
  • Facility Address: 1615 MIAMI RD
    FORT LAUDERDALE, FL
    ZIP 33316
  • Facility Phone: 954 523-5673
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GARY L. WEST
  • NPI Number: 1407124951
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0879097
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVIATA AT THE SEA - HARBOR BEACH
Street 1615 MIAMI RD
City FORT LAUDERDALE
State FL
ZIP 33316
Phone 954 523-5673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GARY L. WEST

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