10D0880892 CLIA NUMBER - SANTA ROSA CTR FOR REHABILITATION & HEALING

Laboratory Demographics

  • CLIA Code: 10D0880892
  • Facility Name: SANTA ROSA CTR FOR REHABILITATION & HEALING
  • Facility Address: 5386 BROAD ST
    MILTON, FL
    ZIP 32570
  • Facility Phone: 850 623-4661
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMANDA HADDOCK
  • NPI Number: 1255977534
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0880892
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SANTA ROSA CTR FOR REHABILITATION & HEALING
Street 5386 BROAD ST
City MILTON
State FL
ZIP 32570
Phone 850 623-4661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AMANDA HADDOCK

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