10D2097008 CLIA NUMBER - CRANE'S VIEW LODGE, LLC

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Laboratory Demographics

CLIA Number: 10D2097008

Facility Name: CRANE'S VIEW LODGE, LLC

Facility Address:
1601 HOOKS ST
CLERMONT, FL
ZIP 34711
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Facility Phone Number: 352 241-7960

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1508257023

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	10D2097008
LAB Type	Assisted Living Facility
Facility Name	CRANE'S VIEW LODGE, LLC
Street	1601 HOOKS ST
City	CLERMONT
State	FL
ZIP	34711
Phone	352 241-7960
CertificateType	4
CertificateEffectiveDate	6/5/2023
CertificateExpirationDate	6/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024