10D0937268 CLIA NUMBER - GULF SHORE NURSING AND REHAB LLC

Laboratory Demographics

  • CLIA Code: 10D0937268
  • Facility Name: GULF SHORE NURSING AND REHAB LLC
  • Facility Address: 6767 86TH AVENUE N
    PINELLAS PARK, FL
    ZIP 33782
  • Facility Phone: 727 548-5566
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JULIE WINTER
  • NPI Number: 1982091476
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0937268
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GULF SHORE NURSING AND REHAB LLC
Street 6767 86TH AVENUE N
City PINELLAS PARK
State FL
ZIP 33782
Phone 727 548-5566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JULIE WINTER

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