10D0960789 CLIA NUMBER - HERON HOUSE

Laboratory Demographics

  • CLIA Code: 10D0960789
  • Facility Name: HERON HOUSE
  • Facility Address: 3221 FRUITVILLE ROAD
    SARASOTA, FL
    ZIP 34237
  • Facility Phone: 941 955-7575
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DONALD LANDRETH
  • NPI Number: 1497949895
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0960789
LAB Type Other
Facility Name HERON HOUSE
Street 3221 FRUITVILLE ROAD
City SARASOTA
State FL
ZIP 34237
Phone 941 955-7575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Other
Lab Director DONALD LANDRETH

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