10D0881352 CLIA NUMBER - SOUTHERN PINES NURSING CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D0881352
  • Facility Name: SOUTHERN PINES NURSING CENTER LLC
  • Facility Address: 6140 CONGRESS ST
    NEW PORT RICHEY, FL
    ZIP 34653
  • Facility Phone: 727 842-8402
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SPENCER S. STEFFY
  • NPI Number: 1477876142
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0881352
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTHERN PINES NURSING CENTER LLC
Street 6140 CONGRESS ST
City NEW PORT RICHEY
State FL
ZIP 34653
Phone 727 842-8402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SPENCER S. STEFFY

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