10D2133470 CLIA NUMBER - BRIDGEWATER PARK LLC

Laboratory Demographics

  • CLIA Code: 10D2133470
  • Facility Name: BRIDGEWATER PARK LLC
  • Facility Address: 9280 SW 80TH COURT
    OCALA, FL
    ZIP 34481
  • Facility Phone: 352 509-5201
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOSEPH WANCZYK
  • NPI Number: 1225577505
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2133470
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRIDGEWATER PARK LLC
Street 9280 SW 80TH COURT
City OCALA
State FL
ZIP 34481
Phone 352 509-5201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOSEPH WANCZYK

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