10D0986908 CLIA NUMBER - PALM COTTAGE OPERATOR LLC

Laboratory Demographics

  • CLIA Code: 10D0986908
  • Facility Name: PALM COTTAGE OPERATOR LLC
  • Facility Address: 3821 SUNNYSIDE CT
    ROCKLEDGE, FL
    ZIP 32955
  • Facility Phone: 321 633-1819
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KIMBERLY F. KAUN
  • NPI Number: 1255699468
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0986908
LAB Type Other
Facility Name PALM COTTAGE OPERATOR LLC
Street 3821 SUNNYSIDE CT
City ROCKLEDGE
State FL
ZIP 32955
Phone 321 633-1819
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Other
Lab Director KIMBERLY F. KAUN

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