10D2255932 CLIA NUMBER - CARINGTON MANOR

Laboratory Demographics

CLIA Number: 10D2255932

Facility Name: CARINGTON MANOR

Facility Address:
3215 EAST JAMES LEE BLVD
CRESTVIEW, FL
ZIP 32539
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Facility Phone Number: 850 423-1228

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1023457306

Taxonomy: 311500000X - Alzheimer Center (Dementia Center)
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

CLIA Record

Field Name	Field Value
CLIA Number	10D2255932
LAB Type	Assisted Living Facility
Facility Name	CARINGTON MANOR
Street	3215 EAST JAMES LEE BLVD
City	CRESTVIEW
State	FL
ZIP	32539
Phone	850 423-1228
CertificateType	4
CertificateEffectiveDate	3/18/2024
CertificateExpirationDate	3/17/2026
FacilityType	Waiver

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