10D2202347 CLIA NUMBER - EXCELLENCE ASSISTED LIVING FACILITY LLC

Laboratory Demographics

  • CLIA Code: 10D2202347
  • Facility Name: EXCELLENCE ASSISTED LIVING FACILITY LLC
  • Facility Address: 2250 S SEMORAN BLVD
    ORLANDO, FL
    ZIP 32822
  • Facility Phone: 407 930-9291
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EBONY BRINSON
  • NPI Number: 1912451980
  • Taxonomy: 310400000X - Assisted Living Facility

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Assisted Living Facility
Lab Director EBONY BRINSON

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