10D2202347 CLIA NUMBER - EXCELLENCE ASSISTED LIVING FACILITY LLC

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Laboratory Demographics

CLIA Number: 10D2202347

Facility Name: EXCELLENCE ASSISTED LIVING FACILITY LLC

Facility Address:
2250 S SEMORAN BLVD
ORLANDO, FL
ZIP 32822
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Facility Phone Number: 407 930-9291

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1912451980

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	10D2202347
LAB Type	Assisted Living Facility
Facility Name	EXCELLENCE ASSISTED LIVING FACILITY LLC
Street	2250 S SEMORAN BLVD
City	ORLANDO
State	FL
ZIP	32822
Phone	407 930-9291
CertificateType	4
CertificateEffectiveDate	11/25/2022
CertificateExpirationDate	11/24/2024
FacilityType	Waiver

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