10D2135018 CLIA NUMBER - TWIN CREEKS ASSISTED LIVING & MEMORY CARE

Laboratory Demographics

  • CLIA Code: 10D2135018
  • Facility Name: TWIN CREEKS ASSISTED LIVING & MEMORY CARE
  • Facility Address: 13470 BOYETTE ROAD
    RIVERVIEW, FL
    ZIP 33569
  • Facility Phone: 813 551-2333
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHANE POTTER
  • NPI Number: 1376023945
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2135018
LAB Type Assisted Living Facility
Facility Name TWIN CREEKS ASSISTED LIVING & MEMORY CARE
Street 13470 BOYETTE ROAD
City RIVERVIEW
State FL
ZIP 33569
Phone 813 551-2333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Assisted Living Facility
Lab Director SHANE POTTER

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