10D2255582 CLIA NUMBER - REEVES MANOR LLC

Laboratory Demographics

  • CLIA Code: 10D2255582
  • Facility Name: REEVES MANOR LLC
  • Facility Address: 650 INDUSTRIAL DR
    CRESTVIEW, FL
    ZIP 32539
  • Facility Phone: 850 398-6233
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NICOLE A. REEVES
  • NPI Number: 1629736897
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2255582
LAB Type Assisted Living Facility
Facility Name REEVES MANOR LLC
Street 650 INDUSTRIAL DR
City CRESTVIEW
State FL
ZIP 32539
Phone 850 398-6233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Assisted Living Facility
Lab Director NICOLE A. REEVES

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