10D2310979 CLIA NUMBER - KISSIMMEE NURSING AND REHABILITATION BY HARBORVIEW LLC

Laboratory Demographics

  • CLIA Code: 10D2310979
  • Facility Name: KISSIMMEE NURSING AND REHABILITATION BY HARBORVIEW LLC
  • Facility Address: 2511 JOHN YOUNG PARKWAY
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 931-3336
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTA VAUGHAN
  • NPI Number: 1518619089
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2310979
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KISSIMMEE NURSING AND REHABILITATION BY HARBORVIEW LLC
Street 2511 JOHN YOUNG PARKWAY
City KISSIMMEE
State FL
ZIP 34741
Phone 407 931-3336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHRISTA VAUGHAN

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