10D2144630 CLIA NUMBER - HARBOUR HEALTH ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 10D2144630
  • Facility Name: HARBOUR HEALTH ASSISTED LIVING
  • Facility Address: 23013 WESTCHESTER BLVD
    PORT CHARLOTTE, FL
    ZIP 33980
  • Facility Phone: 941 625-1220
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KELLIE MCTHENIA
  • NPI Number: 1376957803
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2144630
LAB Type Assisted Living Facility
Facility Name HARBOUR HEALTH ASSISTED LIVING
Street 23013 WESTCHESTER BLVD
City PORT CHARLOTTE
State FL
ZIP 33980
Phone 941 625-1220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Assisted Living Facility
Lab Director KELLIE MCTHENIA

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