10D0947801 CLIA NUMBER - VILLAGE PLACE RETIREMENT

Laboratory Demographics

  • CLIA Code: 10D0947801
  • Facility Name: VILLAGE PLACE RETIREMENT
  • Facility Address: 18400 COCHRAN BLVD
    PORT CHARLOTTE, FL
    ZIP 33948
  • Facility Phone: 941 628-7153
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MELODY THORNTON-GIULIANO
  • NPI Number: 1164786562
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0947801
LAB Type Assisted Living Facility
Facility Name VILLAGE PLACE RETIREMENT
Street 18400 COCHRAN BLVD
City PORT CHARLOTTE
State FL
ZIP 33948
Phone 941 628-7153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Assisted Living Facility
Lab Director MELODY THORNTON-GIULIANO

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