10D2312705 CLIA NUMBER - 1031CF LONGWOOD OPCO LLC

Laboratory Demographics

  • CLIA Code: 10D2312705
  • Facility Name: 1031CF LONGWOOD OPCO LLC
  • Facility Address: 342 S WAYMAN ST
    LONGWOOD, FL
    ZIP 32750
  • Facility Phone: 407 265-9100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EMMANUELLA V. EUSTACHE
  • NPI Number: 1811736838
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2312705
LAB Type Assisted Living Facility
Facility Name 1031CF LONGWOOD OPCO LLC
Street 342 S WAYMAN ST
City LONGWOOD
State FL
ZIP 32750
Phone 407 265-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Assisted Living Facility
Lab Director EMMANUELLA V. EUSTACHE

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