10D2200440 CLIA NUMBER - PLATINUM OAKS ASSISTED LIVING FACILITY LLC

Laboratory Demographics

  • CLIA Code: 10D2200440
  • Facility Name: PLATINUM OAKS ASSISTED LIVING FACILITY LLC
  • Facility Address: 3610 MANASSAS AVE
    MELBOURNE, FL
    ZIP 32934
  • Facility Phone: 321 432-4135
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEBORAH D. BASILE
  • NPI Number: 1225389612
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2200440
LAB Type Assisted Living Facility
Facility Name PLATINUM OAKS ASSISTED LIVING FACILITY LLC
Street 3610 MANASSAS AVE
City MELBOURNE
State FL
ZIP 32934
Phone 321 432-4135
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 DEBORAH D. BASILE

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