10D2215476 CLIA NUMBER - AMBRAY AND LABAYNE CORP DBA EUSTIS SENIOR CARE

Laboratory Demographics

CLIA Number: 10D2215476

Facility Name: AMBRAY AND LABAYNE CORP DBA EUSTIS SENIOR CARE

Facility Address:
228 N CENTER ST
EUSTIS, FL
ZIP 32726
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Facility Phone Number: 352 551-5307

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1427231554

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	10D2215476
LAB Type	Assisted Living Facility
Facility Name	AMBRAY AND LABAYNE CORP DBA EUSTIS SENIOR CARE
Street	228 N CENTER ST
City	EUSTIS
State	FL
ZIP	32726
Phone	352 551-5307
CertificateType	4
CertificateEffectiveDate	3/4/2023
CertificateExpirationDate	3/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024