10D0672733 CLIA NUMBER - HCA FLORIDA HEALTHCARE AT HOME

Laboratory Demographics

  • CLIA Code: 10D0672733
  • Facility Name: HCA FLORIDA HEALTHCARE AT HOME
  • Facility Address: 4638 SOUTH 25TH STREET
    FORT PIERCE, FL
    ZIP 34981
  • Facility Phone: 561 649-0830
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHERLIN MCMILLAN
  • NPI Number: 1922083666
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D0672733
LAB Type Home Health Agency
Facility Name HCA FLORIDA HEALTHCARE AT HOME
Street 4638 SOUTH 25TH STREET
City FORT PIERCE
State FL
ZIP 34981
Phone 561 649-0830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director SHERLIN MCMILLAN

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This page was last updated on: 6/4/2025