CLIA lab

CLIA 10D2209073: Brandywyne Assisted Living Facility LLC

Winter Haven, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2209073 belongs to Brandywyne Assisted Living Facility LLC in Winter Haven, FL.

Certificate of Waiver, effective January 11, 2025, expires January 10, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 11, 2025
Certificate expiration
January 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 11, 2021
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2209073
Lab name
Brandywyne Assisted Living Facility LLC
Address
1801 Lake Mariam Dr, Winter Haven, FL 33884
Phone
(863) 877-0413
Fax
(863) 877-2007

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Winter Haven, FL

Related

Questions

What is the CLIA number for Brandywyne Assisted Living Facility LLC in Winter Haven?

10D2209073, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brandywyne Assisted Living Facility LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2209073 expire?

The CMS file lists January 10, 2027 as the certificate expiration date; the certificate took effect January 11, 2025.

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