10D2242897 CLIA NUMBER - CCRC DEVELOPMENT CORP DBA LEGACY POINTE AT UCF

Laboratory Demographics

  • CLIA Code: 10D2242897
  • Facility Name: CCRC DEVELOPMENT CORP DBA LEGACY POINTE AT UCF
  • Facility Address: 2120 HESTIA LOOP BUILDING 1
    OVIEDO, FL
    ZIP 32765
  • Facility Phone: 407 543-6350
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KEVIN SMAAGE
  • NPI Number: 1902568322
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2242897
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CCRC DEVELOPMENT CORP DBA LEGACY POINTE AT UCF
Street 2120 HESTIA LOOP BUILDING 1
City OVIEDO
State FL
ZIP 32765
Phone 407 543-6350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KEVIN SMAAGE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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