10D2205016 CLIA NUMBER - TERRA BELLA ONE LLC DBA KEYSTONE PLACE AT TERRA BELLA

Laboratory Demographics

  • CLIA Code: 10D2205016
  • Facility Name: TERRA BELLA ONE LLC DBA KEYSTONE PLACE AT TERRA BELLA
  • Facility Address: 2200 LIVINGSTON RD
    LAND O' LAKES, FL
    ZIP 34639
  • Facility Phone: 813 388-2121
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MIREYA MENDES
  • NPI Number: 1841826997
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2205016
LAB Type Assisted Living Facility
Facility Name TERRA BELLA ONE LLC DBA KEYSTONE PLACE AT TERRA BELLA
Street 2200 LIVINGSTON RD
City LAND O' LAKES
State FL
ZIP 34639
Phone 813 388-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Assisted Living Facility
Lab Director MIREYA MENDES

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