10D2204801 CLIA NUMBER - CAMERON ALF II

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Laboratory Demographics

CLIA Number: 10D2204801

Facility Name: CAMERON ALF II

Facility Address:
3122 W SLIGH AVE
TAMPA, FL
ZIP 33614
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Facility Phone Number: 813 405-8064

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1245534882

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	10D2204801
LAB Type	Assisted Living Facility
Facility Name	CAMERON ALF II
Street	3122 W SLIGH AVE
City	TAMPA
State	FL
ZIP	33614
Phone	813 405-8064
CertificateType	4
CertificateEffectiveDate	12/10/2022
CertificateExpirationDate	12/9/2024
FacilityType	Waiver

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