10D1089278 CLIA NUMBER - WICKSHIRE TAMARAC OPCO, LLC

Laboratory Demographics

  • CLIA Code: 10D1089278
  • Facility Name: WICKSHIRE TAMARAC OPCO, LLC
  • Facility Address: 7650 N UNIVERSITY DR
    TAMARAC, FL
    ZIP 33321
  • Facility Phone: (954) 722-6314
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GITA ANDERSON
  • NPI Number: 1588262414
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1089278
LAB Type Assisted Living Facility
Facility Name WICKSHIRE TAMARAC OPCO, LLC
Street 7650 N UNIVERSITY DR
City TAMARAC
State FL
ZIP 33321
Phone 9547226314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Assisted Living Facility
Lab Director GITA ANDERSON

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This page was last updated on: 6/29/2026