10D1081178 CLIA NUMBER - GAINSVILLE FL OPCO LLC

Laboratory Demographics

CLIA Number: 10D1081178

Facility Name: GAINSVILLE FL OPCO LLC

Facility Address:
4000 SW 20TH AVE
GAINESVILLE, FL
ZIP 32607
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Facility Phone Number: 352 377-1981

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	10D1081178
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	GAINSVILLE FL OPCO LLC
Street	4000 SW 20TH AVE
City	GAINESVILLE
State	FL
ZIP	32607
Phone	352 377-1981
CertificateType	4
CertificateEffectiveDate	12/27/2023
CertificateExpirationDate	12/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024