10D0976916 CLIA NUMBER - CCRC OPCO - BRADENTON LLC DBA THE INN AT FREEDOM VILLAGE

Laboratory Demographics

  • CLIA Code: 10D0976916
  • Facility Name: CCRC OPCO - BRADENTON LLC DBA THE INN AT FREEDOM VILLAGE
  • Facility Address: 6410 21ST AVENUE W
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: 941 798-8200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEVEN LEVATO
  • NPI Number: 1013947084
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0976916
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CCRC OPCO - BRADENTON LLC DBA THE INN AT FREEDOM VILLAGE
Street 6410 21ST AVENUE W
City BRADENTON
State FL
ZIP 34209
Phone 941 798-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director STEVEN LEVATO

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