10D2243519 CLIA NUMBER - AVERY COTTAGE ALF LLC

Laboratory Demographics

  • CLIA Code: 10D2243519
  • Facility Name: AVERY COTTAGE ALF LLC
  • Facility Address: 4052 COLLIN DRIVE
    WEST PALM BEACH, FL
    ZIP 33406
  • Facility Phone: 561 370-9907
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: YANICK DANTISTE
  • NPI Number: 1255927919
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2243519
LAB Type Assisted Living Facility
Facility Name AVERY COTTAGE ALF LLC
Street 4052 COLLIN DRIVE
City WEST PALM BEACH
State FL
ZIP 33406
Phone 561 370-9907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Assisted Living Facility
Lab Director YANICK DANTISTE

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