10D2078745 CLIA NUMBER - SWANHOLM CENTRAL LLC DBA BRENTWOOD SENIOR LIVING COM

Laboratory Demographics

  • CLIA Code: 10D2078745
  • Facility Name: SWANHOLM CENTRAL LLC DBA BRENTWOOD SENIOR LIVING COM
  • Facility Address: 6280 CENTRAL AVE
    SAINT PETERSBURG, FL
    ZIP 33707
  • Facility Phone: 727 536-9900
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AVI M. ELIAS
  • NPI Number: 1396174728
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2078745
LAB Type Assisted Living Facility
Facility Name SWANHOLM CENTRAL LLC DBA BRENTWOOD SENIOR LIVING COM
Street 6280 CENTRAL AVE
City SAINT PETERSBURG
State FL
ZIP 33707
Phone 727 536-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Assisted Living Facility
Lab Director AVI M. ELIAS

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