10D2204510 CLIA NUMBER - ALF PHILLIPPE RIDGE

Laboratory Demographics

  • CLIA Code: 10D2204510
  • Facility Name: ALF PHILLIPPE RIDGE
  • Facility Address: 1055 PHILLIPPE PKWY
    SAFETY HARBOR, FL
    ZIP 34695
  • Facility Phone: 727 726-3632
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HUNTER THOMAS
  • NPI Number: 1154966992
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2204510
LAB Type Assisted Living Facility
Facility Name ALF PHILLIPPE RIDGE
Street 1055 PHILLIPPE PKWY
City SAFETY HARBOR
State FL
ZIP 34695
Phone 727 726-3632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Assisted Living Facility
Lab Director HUNTER THOMAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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