10D2125378 CLIA NUMBER - ANTHEM LAKES LLC

Laboratory Demographics

  • CLIA Code: 10D2125378
  • Facility Name: ANTHEM LAKES LLC
  • Facility Address: 905 ASSISI LANE
    ATLANTIC BEACH, FL
    ZIP 32233
  • Facility Phone: 904 746-7220
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOY L. ROBERTS
  • NPI Number: 1093222515
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2125378
LAB Type Assisted Living Facility
Facility Name ANTHEM LAKES LLC
Street 905 ASSISI LANE
City ATLANTIC BEACH
State FL
ZIP 32233
Phone 904 746-7220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Assisted Living Facility
Lab Director JOY L. ROBERTS

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