10D2201498 CLIA NUMBER - LIFE'S SPECIAL MOMENTS, INC

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Laboratory Demographics

CLIA Number: 10D2201498

Facility Name: LIFE'S SPECIAL MOMENTS, INC

Facility Address:
8904 NW 145TH ST
MIAMI LAKES, FL
ZIP 33018
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Facility Phone Number: 305 512-0558

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1487955522

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	10D2201498
LAB Type	Assisted Living Facility
Facility Name	LIFE'S SPECIAL MOMENTS, INC
Street	8904 NW 145TH ST
City	MIAMI LAKES
State	FL
ZIP	33018
Phone	305 512-0558
CertificateType	4
CertificateEffectiveDate	11/20/2022
CertificateExpirationDate	11/19/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024