10D2293930 CLIA NUMBER - BARTOW SLC OPCO, LLC DBA THE CLUB AT BARTOW

Laboratory Demographics

  • CLIA Code: 10D2293930
  • Facility Name: BARTOW SLC OPCO, LLC DBA THE CLUB AT BARTOW
  • Facility Address: 290 IDLEWOOD AVE
    BARTOW, FL
    ZIP 33830
  • Facility Phone: 863 519-3398
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BARBARA BERRY
  • NPI Number: 1063112183
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2293930
LAB Type Assisted Living Facility
Facility Name BARTOW SLC OPCO, LLC DBA THE CLUB AT BARTOW
Street 290 IDLEWOOD AVE
City BARTOW
State FL
ZIP 33830
Phone 863 519-3398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Assisted Living Facility
Lab Director BARBARA BERRY

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