10D0990638 CLIA NUMBER - EMERALD GARDEN INC-ALF

Laboratory Demographics

CLIA Number: 10D0990638

Facility Name: EMERALD GARDEN INC-ALF

Facility Address:
2159 MCMULLEN BOOTH RD
CLEARWATER, FL
ZIP 33759
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Facility Phone Number: 727 723-7332

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1124335112

Taxonomy: 3104A0625X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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
CertificateType	4
CertificateEffectiveDate	8/28/2023
CertificateExpirationDate	8/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024