10D0871565 CLIA NUMBER - AMEDISYS FLORIDA, LLC D/B/A AMEDISYS HOME HEALTH

Laboratory Demographics

  • CLIA Code: 10D0871565
  • Facility Name: AMEDISYS FLORIDA, LLC D/B/A AMEDISYS HOME HEALTH
  • Facility Address: 1515 HERBERT ST STE 210
    PORT ORANGE, FL
    ZIP 32129
  • Facility Phone: 386 788-8313
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JASON SIMS
  • NPI Number: 1184672958
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D0871565
LAB Type Home Health Agency
Facility Name AMEDISYS FLORIDA, LLC D/B/A AMEDISYS HOME HEALTH
Street 1515 HERBERT ST STE 210
City PORT ORANGE
State FL
ZIP 32129
Phone 386 788-8313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Home Health Agency
Lab Director JASON SIMS

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