10D0880381 CLIA NUMBER - ISLAND LAKE CENTER

Laboratory Demographics

  • CLIA Code: 10D0880381
  • Facility Name: ISLAND LAKE CENTER
  • Facility Address: 155 LANDOVER PLACE
    LONGWOOD, FL
    ZIP 32750
  • Facility Phone: 407 830-7744
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHERINE D. AUSTIN
  • NPI Number: 1245228279
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0880381
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ISLAND LAKE CENTER
Street 155 LANDOVER PLACE
City LONGWOOD
State FL
ZIP 32750
Phone 407 830-7744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KATHERINE D. AUSTIN

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This page was last updated on: 6/4/2025