10D1011497 CLIA NUMBER - BRIDGEVIEW CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1011497
  • Facility Name: BRIDGEVIEW CENTER LLC
  • Facility Address: 350 S RIDGEWOOD DR
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 677-4545
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TYLER P. LAURITA
  • NPI Number: 1821086091
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1011497
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRIDGEVIEW CENTER LLC
Street 350 S RIDGEWOOD DR
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 677-4545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TYLER P. LAURITA

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