10D1013503 CLIA NUMBER - VOP MANGROVE BAY, LLC

Laboratory Demographics

  • CLIA Code: 10D1013503
  • Facility Name: VOP MANGROVE BAY, LLC
  • Facility Address: 110 MANGROVE BAY WAY
    JUPITER, FL
    ZIP 33477
  • Facility Phone: 561 575-3123
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE MILLER
  • NPI Number: 1366875544
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1013503
LAB Type Assisted Living Facility
Facility Name VOP MANGROVE BAY, LLC
Street 110 MANGROVE BAY WAY
City JUPITER
State FL
ZIP 33477
Phone 561 575-3123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Assisted Living Facility
Lab Director MICHELLE MILLER

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