10D0894859 CLIA NUMBER - GENESIS HOME HEALTH INC

Laboratory Demographics

  • CLIA Code: 10D0894859
  • Facility Name: GENESIS HOME HEALTH INC
  • Facility Address: 1175 NE 125TH STREET SUITE 618
    NORTH MIAMI, FL
    ZIP 33161
  • Facility Phone: 305 757-5999
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: VIVIAN O. GONZALEZ
  • NPI Number: 1659340149
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D0894859
LAB Type Home Health Agency
Facility Name GENESIS HOME HEALTH INC
Street 1175 NE 125TH STREET SUITE 618
City NORTH MIAMI
State FL
ZIP 33161
Phone 305 757-5999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Home Health Agency
Lab Director VIVIAN O. GONZALEZ

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This page was last updated on: 3/20/2025