10D0959830 CLIA NUMBER - AVIATA AT BRYAN DAIRY

Laboratory Demographics

  • CLIA Code: 10D0959830
  • Facility Name: AVIATA AT BRYAN DAIRY
  • Facility Address: 9035 BRYAN DAIRY RD
    LARGO, FL
    ZIP 33777
  • Facility Phone: 727 395-9619
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RYAN BRINKERHOFF
  • NPI Number: 1932478583
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0959830
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVIATA AT BRYAN DAIRY
Street 9035 BRYAN DAIRY RD
City LARGO
State FL
ZIP 33777
Phone 727 395-9619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RYAN BRINKERHOFF

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