10D2269608 CLIA NUMBER - HENDERSON HOUSE ALF

Laboratory Demographics

  • CLIA Code: 10D2269608
  • Facility Name: HENDERSON HOUSE ALF
  • Facility Address: 907 E ORANGE AVE
    EUSTIS, FL
    ZIP 32726
  • Facility Phone: 352 357-8258
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GENA ACKBERSINGH
  • NPI Number: 1629406624
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2269608
LAB Type Assisted Living Facility
Facility Name HENDERSON HOUSE ALF
Street 907 E ORANGE AVE
City EUSTIS
State FL
ZIP 32726
Phone 352 357-8258
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Assisted Living Facility
Lab Director GENA ACKBERSINGH

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