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06D0894381 CLIA NUMBER - PEDIATRIC SERVICES OF AMERICA, LLC DBA - AVEANNA HEALTHCARE

Laboratory Demographics

CLIA Number: 06D0894381

Facility Name: PEDIATRIC SERVICES OF AMERICA, LLC DBA - AVEANNA HEALTHCARE

Facility Address:
12100 EAST ILIFF AVE, SUITE A-250
AURORA, CO
ZIP 80014
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Facility Phone Number: 303 363-4107

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1992731848

Taxonomy: 251J00000X - Nursing Care
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

CLIA Record

Field Name Field Value
CLIA Number 06D0894381
LAB Type Home Health Agency
Facility Name PEDIATRIC SERVICES OF AMERICA, LLC DBA - AVEANNA HEALTHCARE
Street 12100 EAST ILIFF AVE, SUITE A-250
City AURORA
State CO
ZIP 80014
Phone 303 363-4107
CertificateType 4
CertificateEffectiveDate 11/14/2022
CertificateExpirationDate 11/13/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024