10D2204331 CLIA NUMBER - LINCOLN MANOR ALF

Laboratory Demographics

  • CLIA Code: 10D2204331
  • Facility Name: LINCOLN MANOR ALF
  • Facility Address: 2144 LINCOLN ST
    HOLLYWOOD, FL
    ZIP 33020
  • Facility Phone: 954 922-1995
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ACELA ORTEGA
  • NPI Number: 1568582617
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2204331
LAB Type Assisted Living Facility
Facility Name LINCOLN MANOR ALF
Street 2144 LINCOLN ST
City HOLLYWOOD
State FL
ZIP 33020
Phone 954 922-1995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Assisted Living Facility
Lab Director ACELA ORTEGA

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