10D1100826 CLIA NUMBER - GRAND VILLA OF DELRAY EAST

Laboratory Demographics

  • CLIA Code: 10D1100826
  • Facility Name: GRAND VILLA OF DELRAY EAST
  • Facility Address: 14555 SIMS RD
    DELRAY BEACH, FL
    ZIP 33484
  • Facility Phone: 561 496-1111
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANTONIETA CAICEDO
  • NPI Number: 1487026969
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1100826
LAB Type Assisted Living Facility
Facility Name GRAND VILLA OF DELRAY EAST
Street 14555 SIMS RD
City DELRAY BEACH
State FL
ZIP 33484
Phone 561 496-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Assisted Living Facility
Lab Director ANTONIETA CAICEDO

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