10D0971233 CLIA NUMBER - ST JOSEPH RESIDENCE INC

Laboratory Demographics

  • CLIA Code: 10D0971233
  • Facility Name: ST JOSEPH RESIDENCE INC
  • Facility Address: 3485 NW 30TH ST
    LAUDERDALE LAKES, FL
    ZIP 33311
  • Facility Phone: (954) 739-1483
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JACQUELINE M. MCCONN
  • NPI Number: 1538531447
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0971233
LAB Type Assisted Living Facility
Facility Name ST JOSEPH RESIDENCE INC
Street 3485 NW 30TH ST
City LAUDERDALE LAKES
State FL
ZIP 33311
Phone 9547391483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Assisted Living Facility
Lab Director JACQUELINE M. MCCONN

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