10D1017968 CLIA NUMBER - FOUNTAINVIEW BY FIVE STAR QUALITY CARE

Laboratory Demographics

  • CLIA Code: 10D1017968
  • Facility Name: FOUNTAINVIEW BY FIVE STAR QUALITY CARE
  • Facility Address: 111 EXECUTIVE CTR DR BLDG 5
    WEST PALM BEACH, FL
    ZIP 33401
  • Facility Phone: 561 697-5500
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TIMOTHY PIERELLI
  • NPI Number: 1346289295
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1017968
LAB Type Other
Facility Name FOUNTAINVIEW BY FIVE STAR QUALITY CARE
Street 111 EXECUTIVE CTR DR BLDG 5
City WEST PALM BEACH
State FL
ZIP 33401
Phone 561 697-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Other
Lab Director TIMOTHY PIERELLI

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