10D2213114 CLIA NUMBER - VINEYARD INN, THE

Laboratory Demographics

  • CLIA Code: 10D2213114
  • Facility Name: VINEYARD INN, THE
  • Facility Address: 10929 RIDGE RD
    LARGO, FL
    ZIP 33778
  • Facility Phone: 727 391-9611
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AGNES L. TURK
  • NPI Number: 1639492408
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2213114
LAB Type Assisted Living Facility
Facility Name VINEYARD INN, THE
Street 10929 RIDGE RD
City LARGO
State FL
ZIP 33778
Phone 727 391-9611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Assisted Living Facility
Lab Director AGNES L. TURK

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