10D1066582 CLIA NUMBER - NEW HORIZON FACILITY INC DBA CRESCENT LAKES HOUSE

Laboratory Demographics

  • CLIA Code: 10D1066582
  • Facility Name: NEW HORIZON FACILITY INC DBA CRESCENT LAKES HOUSE
  • Facility Address: 2301 S US HWY 17
    CRESCENT CITY, FL
    ZIP 32112
  • Facility Phone: 386 698-1444
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ADAM ELDICK
  • NPI Number: 1548718406
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1066582
LAB Type Assisted Living Facility
Facility Name NEW HORIZON FACILITY INC DBA CRESCENT LAKES HOUSE
Street 2301 S US HWY 17
City CRESCENT CITY
State FL
ZIP 32112
Phone 386 698-1444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Assisted Living Facility
Lab Director ADAM ELDICK

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