10D2209524 CLIA NUMBER - EPWORTH VILLAGE RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 10D2209524
  • Facility Name: EPWORTH VILLAGE RETIREMENT COMMUNITY
  • Facility Address: MCCRAY BUILDING 5300 W 16TH AVE
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 305 556-3500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BRIAN M. CENTO
  • NPI Number: 1225450604
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2209524
LAB Type Assisted Living Facility
Facility Name EPWORTH VILLAGE RETIREMENT COMMUNITY
Street MCCRAY BUILDING 5300 W 16TH AVE
City HIALEAH
State FL
ZIP 33012
Phone 305 556-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Assisted Living Facility
Lab Director BRIAN M. CENTO

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