10D1040300 CLIA NUMBER - TERRACE COMMUNITIES TEQUESTA, LLC

Laboratory Demographics

  • CLIA Code: 10D1040300
  • Facility Name: TERRACE COMMUNITIES TEQUESTA, LLC
  • Facility Address: 400 NORTH US HWY1
    TEQUESTA, FL
    ZIP 33469
  • Facility Phone: 561 207-6500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PATTI A. PROBILLARD- HUDAK
  • NPI Number: 1326251224
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1040300
LAB Type Assisted Living Facility
Facility Name TERRACE COMMUNITIES TEQUESTA, LLC
Street 400 NORTH US HWY1
City TEQUESTA
State FL
ZIP 33469
Phone 561 207-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Assisted Living Facility
Lab Director PATTI A. PROBILLARD- HUDAK

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