10D0956987 CLIA NUMBER - SOLARIS SENIOR LIVING OF MERRITT ISLAND

Laboratory Demographics

CLIA Number: 10D0956987

Facility Name: SOLARIS SENIOR LIVING OF MERRITT ISLAND

Facility Address:
535 CROCKETT BLVD
MERRITT ISLAND, FL
ZIP 32953
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Facility Phone Number: 321 454-2363

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1518338938

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	10D0956987
LAB Type	Other
Facility Name	SOLARIS SENIOR LIVING OF MERRITT ISLAND
Street	535 CROCKETT BLVD
City	MERRITT ISLAND
State	FL
ZIP	32953
Phone	321 454-2363
CertificateType	4
CertificateEffectiveDate	2/10/2023
CertificateExpirationDate	2/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024