10D1048634 CLIA NUMBER - WATERMAN VILLAGE HOME CARE

Laboratory Demographics

  • CLIA Code: 10D1048634
  • Facility Name: WATERMAN VILLAGE HOME CARE
  • Facility Address: 130 WATERMAN AVE
    MOUNT DORA, FL
    ZIP 32757
  • Facility Phone: 352 383-0051
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CONNIE SCHMALENBERGER
  • NPI Number: 1821165879
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1048634
LAB Type Home Health Agency
Facility Name WATERMAN VILLAGE HOME CARE
Street 130 WATERMAN AVE
City MOUNT DORA
State FL
ZIP 32757
Phone 352 383-0051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Home Health Agency
Lab Director CONNIE SCHMALENBERGER

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