10D0997962 CLIA NUMBER - SUPERIOR RESIDENCES OF CLERMONT

Laboratory Demographics

CLIA Number: 10D0997962

Facility Name: SUPERIOR RESIDENCES OF CLERMONT

Facility Address:
1600 HUNT TRACE BLVD
CLERMONT, FL
ZIP 34711
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Facility Phone Number: (352) 394-5549

Facility Type: ASSISTED LIVING FACILITY

Certificate Type: Waiver

NPI Number: 1982194494

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	10D0997962
LAB Type	ASSISTED LIVING FACILITY
Facility Name	SUPERIOR RESIDENCES OF CLERMONT
Street	1600 HUNT TRACE BLVD
City	CLERMONT
State	FL
ZIP	34711
Phone	(352) 394-5549

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This page was last updated on: 5/11/2023