10D2300841 CLIA NUMBER - LAKE NONA SENIOR HOUSING LLC

Laboratory Demographics

CLIA Number: 10D2300841

Facility Name: LAKE NONA SENIOR HOUSING LLC

Facility Address:
10298 SAVANNAH PARK DRIVE
ORLANDO, FL
ZIP 32832
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Facility Phone Number: 689 336-2200

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1275778920

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2300841
LAB Type	Assisted Living Facility
Facility Name	LAKE NONA SENIOR HOUSING LLC
Street	10298 SAVANNAH PARK DRIVE
City	ORLANDO
State	FL
ZIP	32832
Phone	689 336-2200
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