10D0913025 CLIA NUMBER - WILLIAMSBURG LANDING

Laboratory Demographics

  • CLIA Code: 10D0913025
  • Facility Name: WILLIAMSBURG LANDING
  • Facility Address: 1776 NE 26TH STREET
    WILTON MANORS, FL
    ZIP 33305
  • Facility Phone: 954 566-1775
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHANTELLE SINCLAIR
  • NPI Number: 1104261254
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0913025
LAB Type Assisted Living Facility
Facility Name WILLIAMSBURG LANDING
Street 1776 NE 26TH STREET
City WILTON MANORS
State FL
ZIP 33305
Phone 954 566-1775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Assisted Living Facility
Lab Director SHANTELLE SINCLAIR

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