10D2200399 CLIA NUMBER - PRII LAKE MARY OPCO LLC

Laboratory Demographics

  • CLIA Code: 10D2200399
  • Facility Name: PRII LAKE MARY OPCO LLC
  • Facility Address: 1001 ROYAL GARDENS CIR
    LAKE MARY, FL
    ZIP 32746
  • Facility Phone: 407 732-5800
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KEYONNA KNIGHT
  • NPI Number: 1184069254
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2200399
LAB Type Assisted Living Facility
Facility Name PRII LAKE MARY OPCO LLC
Street 1001 ROYAL GARDENS CIR
City LAKE MARY
State FL
ZIP 32746
Phone 407 732-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Assisted Living Facility
Lab Director KEYONNA KNIGHT

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