10D0992415 CLIA NUMBER - FIVE STAR PREMIER RESIDENCES OF PLANTATION

Laboratory Demographics

  • CLIA Code: 10D0992415
  • Facility Name: FIVE STAR PREMIER RESIDENCES OF PLANTATION
  • Facility Address: 8500 WEST SUNRISE BLVD
    PLANTATION, FL
    ZIP 33322
  • Facility Phone: 954 476-8500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY M. ROGERS
  • NPI Number: 1053749580
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0992415
LAB Type Assisted Living Facility
Facility Name FIVE STAR PREMIER RESIDENCES OF PLANTATION
Street 8500 WEST SUNRISE BLVD
City PLANTATION
State FL
ZIP 33322
Phone 954 476-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Assisted Living Facility
Lab Director KIMBERLY M. ROGERS

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