10D1044756 CLIA NUMBER - GRAND VILLA OF DEERFIELD BEACH

Laboratory Demographics

  • CLIA Code: 10D1044756
  • Facility Name: GRAND VILLA OF DEERFIELD BEACH
  • Facility Address: 1050 SW 24TH AVE
    DEERFIELD BEACH, FL
    ZIP 33442
  • Facility Phone: 954 360-7667
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: FELECIA FISHER
  • NPI Number: 1700239563
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1044756
LAB Type Assisted Living Facility
Facility Name GRAND VILLA OF DEERFIELD BEACH
Street 1050 SW 24TH AVE
City DEERFIELD BEACH
State FL
ZIP 33442
Phone 954 360-7667
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Assisted Living Facility
Lab Director FELECIA FISHER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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