10D2102635 CLIA NUMBER - INSPIRED LIVING AT LAKEWOOD RANCH

Laboratory Demographics

CLIA Number: 10D2102635

Facility Name: INSPIRED LIVING AT LAKEWOOD RANCH

Facility Address:
5424 LENA RD
BRADENTON, FL
ZIP 34211
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Facility Phone Number: 941 782-0148

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1366117111

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	10D2102635
LAB Type	Assisted Living Facility
Facility Name	INSPIRED LIVING AT LAKEWOOD RANCH
Street	5424 LENA RD
City	BRADENTON
State	FL
ZIP	34211
Phone	941 782-0148
CertificateType	4
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	Waiver

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