10D2246734 CLIA NUMBER - PRESIDENTIAL PLACE

Laboratory Demographics

  • CLIA Code: 10D2246734
  • Facility Name: PRESIDENTIAL PLACE
  • Facility Address: 3880 S CIRCLE DR
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 894-0059
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: VERONIQUE LEONVIL
  • NPI Number: 1407280837
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2246734
LAB Type Assisted Living Facility
Facility Name PRESIDENTIAL PLACE
Street 3880 S CIRCLE DR
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 894-0059
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Assisted Living Facility
Lab Director VERONIQUE LEONVIL

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