10D2281637 CLIA NUMBER - INDEPENDENCE HALL

Laboratory Demographics

  • CLIA Code: 10D2281637
  • Facility Name: INDEPENDENCE HALL
  • Facility Address: 1639 NE 26TH STREET
    WILTON MANORS, FL
    ZIP 33305
  • Facility Phone: 954 562-3232
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHANTELLE SINCLAIR
  • NPI Number: 1245666544
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2281637
LAB Type Assisted Living Facility
Facility Name INDEPENDENCE HALL
Street 1639 NE 26TH STREET
City WILTON MANORS
State FL
ZIP 33305
Phone 954 562-3232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Assisted Living Facility
Lab Director SHANTELLE SINCLAIR

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