10D0990638 CLIA NUMBER - EMERALD GARDEN INC-ALF

Laboratory Demographics

  • CLIA Code: 10D0990638
  • Facility Name: EMERALD GARDEN INC-ALF
  • Facility Address: 2159 MCMULLEN BOOTH RD
    CLEARWATER, FL
    ZIP 33759
  • Facility Phone: 727 723-7332
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KAMRAN ROUHANI
  • NPI Number: 1124335112
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0990638
LAB Type Other
Facility Name EMERALD GARDEN INC-ALF
Street 2159 MCMULLEN BOOTH RD
City CLEARWATER
State FL
ZIP 33759
Phone 727 723-7332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Other
Lab Director KAMRAN ROUHANI

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