10D2181250 CLIA NUMBER - MIDDLEBURG REHABILITATION AND NURSING CENTER LLC MIDDLEBURG REHABILITATION AND NURSING CENTER

Laboratory Demographics

  • CLIA Code: 10D2181250
  • Facility Name: MIDDLEBURG REHABILITATION AND NURSING CENTER LLC MIDDLEBURG REHABILITATION AND NURSING CENTER
  • Facility Address: 1280 HENLEY RD
    MIDDLEBURG, FL
    ZIP 32068
  • Facility Phone: 904 600-3798
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ERICA L. HENDERSON
  • NPI Number: 1588162762
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2181250
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MIDDLEBURG REHABILITATION AND NURSING CENTER LLC MIDDLEBURG REHABILITATION AND NURSING CENTER
Street 1280 HENLEY RD
City MIDDLEBURG
State FL
ZIP 32068
Phone 904 600-3798
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ERICA L. HENDERSON

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