10D2200720 CLIA NUMBER - AMELIA ASSISTED LIVING FACILITY INC

Laboratory Demographics

  • CLIA Code: 10D2200720
  • Facility Name: AMELIA ASSISTED LIVING FACILITY INC
  • Facility Address: 2135 40TH AVE N
    SAINT PETERSBURG, FL
    ZIP 33714
  • Facility Phone: 813 943-5380
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RENE L. BIRD
  • NPI Number: 1407238504
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2200720
LAB Type Assisted Living Facility
Facility Name AMELIA ASSISTED LIVING FACILITY INC
Street 2135 40TH AVE N
City SAINT PETERSBURG
State FL
ZIP 33714
Phone 813 943-5380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Assisted Living Facility
Lab Director RENE L. BIRD

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