10D2080996 CLIA NUMBER - GRAND OAKS OF JENSEN BEACH LLC

Laboratory Demographics

  • CLIA Code: 10D2080996
  • Facility Name: GRAND OAKS OF JENSEN BEACH LLC
  • Facility Address: 125 NW JENSEN BEACH BLVD
    JENSEN BEACH, FL
    ZIP 34957
  • Facility Phone: 772 286-1844
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LAURIE H. ALLEN
  • NPI Number: 1437565348
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2080996
LAB Type Assisted Living Facility
Facility Name GRAND OAKS OF JENSEN BEACH LLC
Street 125 NW JENSEN BEACH BLVD
City JENSEN BEACH
State FL
ZIP 34957
Phone 772 286-1844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Assisted Living Facility
Lab Director LAURIE H. ALLEN

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This page was last updated on: 3/20/2025