10D2186068 CLIA NUMBER - LA ORILLA OF ST PETERSBURG

Laboratory Demographics

CLIA Number: 10D2186068

Facility Name: LA ORILLA OF ST PETERSBURG

Facility Address:
3600 34TH ST S
SAINT PETERSBURG, FL
ZIP 33711
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Facility Phone Number: 727 350-5830

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1457754558

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	10D2186068
LAB Type	Assisted Living Facility
Facility Name	LA ORILLA OF ST PETERSBURG
Street	3600 34TH ST S
City	SAINT PETERSBURG
State	FL
ZIP	33711
Phone	727 350-5830
CertificateType	4
CertificateEffectiveDate	6/13/2022
CertificateExpirationDate	6/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024