10D1080675 CLIA NUMBER - COLONNADE AT BECKETT LAKE, THE

Laboratory Demographics

  • CLIA Code: 10D1080675
  • Facility Name: COLONNADE AT BECKETT LAKE, THE
  • Facility Address: 2155 MONTCLAIR RD
    CLEARWATER, FL
    ZIP 33763
  • Facility Phone: 727 797-7257
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: GEORGE MONTGOMERY
  • NPI Number: 1609103308
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1080675
LAB Type Other
Facility Name COLONNADE AT BECKETT LAKE, THE
Street 2155 MONTCLAIR RD
City CLEARWATER
State FL
ZIP 33763
Phone 727 797-7257
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Other
Lab Director GEORGE MONTGOMERY

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