10D0928614 CLIA NUMBER - GRAND VILLA OF BOYNTON BEACH

Laboratory Demographics

  • CLIA Code: 10D0928614
  • Facility Name: GRAND VILLA OF BOYNTON BEACH
  • Facility Address: 1935 S FEDERAL HWY
    BOYNTON BEACH, FL
    ZIP 33435
  • Facility Phone: 561 736-2424
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ERICA JONES
  • NPI Number: 1952775926
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0928614
LAB Type Assisted Living Facility
Facility Name GRAND VILLA OF BOYNTON BEACH
Street 1935 S FEDERAL HWY
City BOYNTON BEACH
State FL
ZIP 33435
Phone 561 736-2424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Assisted Living Facility
Lab Director ERICA JONES

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