10D0889592 CLIA NUMBER - ST MARK VILLAGE

Laboratory Demographics

  • CLIA Code: 10D0889592
  • Facility Name: ST MARK VILLAGE
  • Facility Address: 2655 NEBRASKA AVE
    PALM HARBOR, FL
    ZIP 34684
  • Facility Phone: 727 785-2580
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHELE BAIN
  • NPI Number: 1821182544
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0889592
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST MARK VILLAGE
Street 2655 NEBRASKA AVE
City PALM HARBOR
State FL
ZIP 34684
Phone 727 785-2580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHELE BAIN

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