10D2022420 CLIA NUMBER - FIVE STAR PREMIER RESIDENCES OF HOLLYWOOD

Laboratory Demographics

  • CLIA Code: 10D2022420
  • Facility Name: FIVE STAR PREMIER RESIDENCES OF HOLLYWOOD
  • Facility Address: 2480 NORTH PARK ROAD
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 989-8008
  • Facility Type: Other - WELLNESS CENTER FOR INDEP
  • Facility Type: Waiver
  • Lab Director: SHERLIE FRANCOIS
  • NPI Number: 1265958839
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2022420
LAB Type Other - WELLNESS CENTER FOR INDEP
Facility Name FIVE STAR PREMIER RESIDENCES OF HOLLYWOOD
Street 2480 NORTH PARK ROAD
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 989-8008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Other - WELLNESS CENTER FOR INDEP
Lab Director SHERLIE FRANCOIS

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This page was last updated on: 6/4/2025