10D2208247 CLIA NUMBER - VICTORIA LANDING LLC

Laboratory Demographics

  • CLIA Code: 10D2208247
  • Facility Name: VICTORIA LANDING LLC
  • Facility Address: 1279 HOUSTON STREET
    MELBOURNE, FL
    ZIP 32935
  • Facility Phone: 321 622-6730
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AMY M. PATRICK
  • NPI Number: 1790135945
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 10D2208247
LAB Type Assisted Living Facility
Facility Name VICTORIA LANDING LLC
Street 1279 HOUSTON STREET
City MELBOURNE
State FL
ZIP 32935
Phone 321 622-6730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Assisted Living Facility
Lab Director AMY M. PATRICK

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