10D2213944 CLIA NUMBER - YUDITH'S ALFII JUDITH'S ASSISTED LIVING FACILITY INC

Laboratory Demographics

  • CLIA Code: 10D2213944
  • Facility Name: YUDITH'S ALFII JUDITH'S ASSISTED LIVING FACILITY INC
  • Facility Address: 4415 W JEAN ST
    TAMPA, FL
    ZIP 33614
  • Facility Phone: 813 453-2480
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RUBEN DOMINGUEZ
  • NPI Number: 1831520246
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2213944
LAB Type Assisted Living Facility
Facility Name YUDITH'S ALFII JUDITH'S ASSISTED LIVING FACILITY INC
Street 4415 W JEAN ST
City TAMPA
State FL
ZIP 33614
Phone 813 453-2480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Assisted Living Facility
Lab Director RUBEN DOMINGUEZ

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