10D0925024 CLIA NUMBER - ARBOR NURSING AND REHAB LLC

Laboratory Demographics

  • CLIA Code: 10D0925024
  • Facility Name: ARBOR NURSING AND REHAB LLC
  • Facility Address: 490 S OLD WIRE RD
    WILDWOOD, FL
    ZIP 34785
  • Facility Phone: 352 748-3322
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DWAYNE E. GRAHAM
  • NPI Number: 1164819652
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0925024
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ARBOR NURSING AND REHAB LLC
Street 490 S OLD WIRE RD
City WILDWOOD
State FL
ZIP 34785
Phone 352 748-3322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DWAYNE E. GRAHAM

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