10D2106715 CLIA NUMBER - BSH PRESERVE OPCO LLC DBA THE PRESERVE AT CLEARWATER

Laboratory Demographics

CLIA Number: 10D2106715

Facility Name: BSH PRESERVE OPCO LLC DBA THE PRESERVE AT CLEARWATER

Facility Address:
2010 GREENBRIAR BLVD
CLEARWATER, FL
ZIP 33763
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Facility Phone Number: 727 735-6200

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1639698210

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	10D2106715
LAB Type	Assisted Living Facility
Facility Name	BSH PRESERVE OPCO LLC DBA THE PRESERVE AT CLEARWATER
Street	2010 GREENBRIAR BLVD
City	CLEARWATER
State	FL
ZIP	33763
Phone	727 735-6200
CertificateType	4
CertificateEffectiveDate	9/22/2023
CertificateExpirationDate	9/21/2025
FacilityType	Waiver

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