10D2104378 CLIA NUMBER - REGENCY PARK

Laboratory Demographics

  • CLIA Code: 10D2104378
  • Facility Name: REGENCY PARK
  • Facility Address: 15000 HIGHWAY 441
    EUSTIS, FL
    ZIP 32726
  • Facility Phone: 352 609-2040
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BETTY CARROLL
  • NPI Number: 1396196861
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2104378
LAB Type Assisted Living Facility
Facility Name REGENCY PARK
Street 15000 HIGHWAY 441
City EUSTIS
State FL
ZIP 32726
Phone 352 609-2040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Assisted Living Facility
Lab Director BETTY CARROLL

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