10D2233467 CLIA NUMBER - WILLOW BAY SENIOR RESORT

Laboratory Demographics

CLIA Number: 10D2233467

Facility Name: WILLOW BAY SENIOR RESORT

Facility Address:
4001 EAST HILLSBORO BLVD
DEERFIELD BEACH, FL
ZIP 33442
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Facility Phone Number: 954 426-9700

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1710265590

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	10D2233467
LAB Type	Assisted Living Facility
Facility Name	WILLOW BAY SENIOR RESORT
Street	4001 EAST HILLSBORO BLVD
City	DEERFIELD BEACH
State	FL
ZIP	33442
Phone	954 426-9700
CertificateType	4
CertificateEffectiveDate	8/24/2023
CertificateExpirationDate	8/23/2025
FacilityType	Waiver

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