10D2202026 CLIA NUMBER - SUNCOAST NEW OPTIONS BESSENT ROAD

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Laboratory Demographics

CLIA Number: 10D2202026

Facility Name: SUNCOAST NEW OPTIONS BESSENT ROAD

Facility Address:
1329 BESSENT RD
STARKE, FL
ZIP 32091
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Facility Phone Number: 352 372-0130

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1548695471

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	10D2202026
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	SUNCOAST NEW OPTIONS BESSENT ROAD
Street	1329 BESSENT RD
City	STARKE
State	FL
ZIP	32091
Phone	352 372-0130
CertificateType	4
CertificateEffectiveDate	11/24/2022
CertificateExpirationDate	11/23/2024
FacilityType	Waiver

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