10D0916212 CLIA NUMBER - BLOUNTSTOWN FL OPERATOR LLC DBA BLOUNTSTOWN HEALTH & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 10D0916212
  • Facility Name: BLOUNTSTOWN FL OPERATOR LLC DBA BLOUNTSTOWN HEALTH & REHABILITATION CENTER
  • Facility Address: 16690 SW CHIPOLA ROAD
    BLOUNTSTOWN, FL
    ZIP 32424
  • Facility Phone: 850 643-6991
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MISBAH FAROOQI
  • NPI Number: 1003569385
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0916212
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BLOUNTSTOWN FL OPERATOR LLC DBA BLOUNTSTOWN HEALTH & REHABILITATION CENTER
Street 16690 SW CHIPOLA ROAD
City BLOUNTSTOWN
State FL
ZIP 32424
Phone 850 643-6991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MISBAH FAROOQI

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