10D2186068 CLIA NUMBER - VOLANTE OF ST PETERSBURG

Laboratory Demographics

  • CLIA Code: 10D2186068
  • Facility Name: VOLANTE OF ST PETERSBURG
  • Facility Address: 3600 34TH ST S
    SAINT PETERSBURG, FL
    ZIP 33711
  • Facility Phone: 727 350-5830
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JACK GOODWYN
  • NPI Number: 1457754558
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2186068
LAB Type Assisted Living Facility
Facility Name VOLANTE OF ST PETERSBURG
Street 3600 34TH ST S
City SAINT PETERSBURG
State FL
ZIP 33711
Phone 727 350-5830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Assisted Living Facility
Lab Director JACK GOODWYN

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