10D0958524 CLIA NUMBER - GRAND VILLA OF ALTAMONTE SPRINGS

Laboratory Demographics

  • CLIA Code: 10D0958524
  • Facility Name: GRAND VILLA OF ALTAMONTE SPRINGS
  • Facility Address: 433 ORANGE DR
    ALTAMONTE SPRINGS, FL
    ZIP 32701
  • Facility Phone: (407) 260-2433
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARSHALL LEGARD
  • NPI Number: 1003159294
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0958524
LAB Type Assisted Living Facility
Facility Name GRAND VILLA OF ALTAMONTE SPRINGS
Street 433 ORANGE DR
City ALTAMONTE SPRINGS
State FL
ZIP 32701
Phone 4072602433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Assisted Living Facility
Lab Director MARSHALL LEGARD

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This page was last updated on: 5/18/2026