10D1011167 CLIA NUMBER - TOBY WEINMAN ASSISTED LIVING RESIDENCE AT MENORAH MANOR

Laboratory Demographics

CLIA Number: 10D1011167

Facility Name: TOBY WEINMAN ASSISTED LIVING RESIDENCE AT MENORAH MANOR

Facility Address:
240 59TH ST N
SAINT PETERSBURG, FL
ZIP 33710
Get Directions

Facility Phone Number: 727 341-1818

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1235522889

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	10D1011167
LAB Type	Other
Facility Name	TOBY WEINMAN ASSISTED LIVING RESIDENCE AT MENORAH MANOR
Street	240 59TH ST N
City	SAINT PETERSBURG
State	FL
ZIP	33710
Phone	727 341-1818
CertificateType	4
CertificateEffectiveDate	4/2/2023
CertificateExpirationDate	4/1/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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