10D2132116 CLIA NUMBER - FIVE STAR PREMIER RESIDENCES OF POMPANO BEACH

Laboratory Demographics

  • CLIA Code: 10D2132116
  • Facility Name: FIVE STAR PREMIER RESIDENCES OF POMPANO BEACH
  • Facility Address: 1371 SOUTH OCEAN BLVD
    POMPANO BEACH, FL
    ZIP 33062
  • Facility Phone: 954 943-1155
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ROCSANA BOWERS
  • NPI Number: 1366976961
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2132116
LAB Type Assisted Living Facility
Facility Name FIVE STAR PREMIER RESIDENCES OF POMPANO BEACH
Street 1371 SOUTH OCEAN BLVD
City POMPANO BEACH
State FL
ZIP 33062
Phone 954 943-1155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Assisted Living Facility
Lab Director ROCSANA BOWERS

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