10D2201041 CLIA NUMBER - CHRISTALLIS MANOR III DBA BEACHSIDE LIVING LLC

Laboratory Demographics

  • CLIA Code: 10D2201041
  • Facility Name: CHRISTALLIS MANOR III DBA BEACHSIDE LIVING LLC
  • Facility Address: 420 N RIVERSIDE DR
    POMPANO BEACH, FL
    ZIP 33062
  • Facility Phone: 954 788-8350
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AMPARO M. DIERKING
  • NPI Number: 1083228332
  • Taxonomy: 3104A0630X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2201041
LAB Type Assisted Living Facility
Facility Name CHRISTALLIS MANOR III DBA BEACHSIDE LIVING LLC
Street 420 N RIVERSIDE DR
City POMPANO BEACH
State FL
ZIP 33062
Phone 954 788-8350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Assisted Living Facility
Lab Director AMPARO M. DIERKING

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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