10D1000392 CLIA NUMBER - CORAL OAKS

Laboratory Demographics

  • CLIA Code: 10D1000392
  • Facility Name: CORAL OAKS
  • Facility Address: 900 W LAKE RD
    PALM HARBOR, FL
    ZIP 34684
  • Facility Phone: 727 787-3333
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DAVID M. SHYMKIW
  • NPI Number: 1205875101
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1000392
LAB Type Assisted Living Facility
Facility Name CORAL OAKS
Street 900 W LAKE RD
City PALM HARBOR
State FL
ZIP 34684
Phone 727 787-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Assisted Living Facility
Lab Director DAVID M. SHYMKIW

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