10D2169951 CLIA NUMBER - HERON CLUB AT PRESTANCIA

Laboratory Demographics

  • CLIA Code: 10D2169951
  • Facility Name: HERON CLUB AT PRESTANCIA
  • Facility Address: 3749 SARASOTA SQUARE BLVD
    SARASOTA, FL
    ZIP 34238
  • Facility Phone: 941 922-1669
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AYMEE THOMAS
  • NPI Number: 1780248617
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2169951
LAB Type Assisted Living Facility
Facility Name HERON CLUB AT PRESTANCIA
Street 3749 SARASOTA SQUARE BLVD
City SARASOTA
State FL
ZIP 34238
Phone 941 922-1669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Assisted Living Facility
Lab Director AYMEE THOMAS

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