10D1047930 CLIA NUMBER - WESLEY HAVEN VILLA

Laboratory Demographics

  • CLIA Code: 10D1047930
  • Facility Name: WESLEY HAVEN VILLA
  • Facility Address: 111 EAST WRIGHT ST
    PENSACOLA, FL
    ZIP 32501
  • Facility Phone: 850 434-1035
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: FIONA G. NORTON
  • NPI Number: 1750430344
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1047930
LAB Type Assisted Living Facility
Facility Name WESLEY HAVEN VILLA
Street 111 EAST WRIGHT ST
City PENSACOLA
State FL
ZIP 32501
Phone 850 434-1035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Assisted Living Facility
Lab Director FIONA G. NORTON

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