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08D2099763 CLIA NUMBER - EPIC HEALTH SERVICES DE LLC, D/B/A AVEANNA HEALTHCARE

Laboratory Demographics

CLIA Number: 08D2099763

Facility Name: EPIC HEALTH SERVICES DE LLC, D/B/A AVEANNA HEALTHCARE

Facility Address:
56 W MAIN ST PLAZA 273, SUITE 211
CHRISTIANA, DE
ZIP 19702
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Facility Phone Number: 302 504-4101

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1487834768

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 08D2099763
LAB Type Home Health Agency
Facility Name EPIC HEALTH SERVICES DE LLC, D/B/A AVEANNA HEALTHCARE
Street 56 W MAIN ST PLAZA 273, SUITE 211
City CHRISTIANA
State DE
ZIP 19702
Phone 302 504-4101
CertificateType 4
CertificateEffectiveDate 8/3/2023
CertificateExpirationDate 8/2/2025
FacilityType Waiver

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