10D2311435 CLIA NUMBER - MONTICELLO NURSING AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 10D2311435
  • Facility Name: MONTICELLO NURSING AND REHAB CENTER
  • Facility Address: 1780 N JEFFERSON ST
    MONTICELLO, FL
    ZIP 32344
  • Facility Phone: 850 997-2313
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHANICE L. CUTHBERTSON
  • NPI Number: 1407147614
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2311435
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MONTICELLO NURSING AND REHAB CENTER
Street 1780 N JEFFERSON ST
City MONTICELLO
State FL
ZIP 32344
Phone 850 997-2313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SHANICE L. CUTHBERTSON

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