10D0705035 CLIA NUMBER - ADVENTHEALTH HOME HEALTH

Laboratory Demographics

  • CLIA Code: 10D0705035
  • Facility Name: ADVENTHEALTH HOME HEALTH
  • Facility Address: 12903 N TELECOM PKWY
    TEMPLE TERRACE, FL
    ZIP 33637
  • Facility Phone: 813 615-7700
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KELLY SKULAS
  • NPI Number: 1699345314
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D0705035
LAB Type Home Health Agency
Facility Name ADVENTHEALTH HOME HEALTH
Street 12903 N TELECOM PKWY
City TEMPLE TERRACE
State FL
ZIP 33637
Phone 813 615-7700
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 KELLY SKULAS

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