10D2076982 CLIA NUMBER - GAHC4 BALMORAL FL TRS SUB LLC

Laboratory Demographics

  • CLIA Code: 10D2076982
  • Facility Name: GAHC4 BALMORAL FL TRS SUB LLC
  • Facility Address: 93 BALMORAL DR
    LAKE PLACID, FL
    ZIP 33852
  • Facility Phone: 863 465-6584
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KAREN SMITH
  • NPI Number: 1750800959
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2076982
LAB Type Assisted Living Facility
Facility Name GAHC4 BALMORAL FL TRS SUB LLC
Street 93 BALMORAL DR
City LAKE PLACID
State FL
ZIP 33852
Phone 863 465-6584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Assisted Living Facility
Lab Director KAREN SMITH

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