10D2199628 CLIA NUMBER - VILLAS AT LAKESIDE OAKS, THE

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Laboratory Demographics

CLIA Number: 10D2199628

Facility Name: VILLAS AT LAKESIDE OAKS, THE

Facility Address:
1059 VIRGINIA ST
DUNEDIN, FL
ZIP 34698
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Facility Phone Number: (727) 733-6091

Facility Type: ASSISTED LIVING FACILITY

Certificate Type: Waiver

NPI Number: 1205873569

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	10D2199628
LAB Type	ASSISTED LIVING FACILITY
Facility Name	VILLAS AT LAKESIDE OAKS, THE
Street	1059 VIRGINIA ST
City	DUNEDIN
State	FL
ZIP	34698
Phone	(727) 733-6091

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This page was last updated on: 5/11/2023