10D0914797 CLIA NUMBER - MEDERI CARETENDERS

Laboratory Demographics

CLIA Number: 10D0914797

Facility Name: MEDERI CARETENDERS

Facility Address:
311 PARK PLACE BLVD STE 100
CLEARWATER, FL
ZIP 33765
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Facility Phone Number: 727 584-1824

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1104081876

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	10D0914797
LAB Type	Home Health Agency
Facility Name	MEDERI CARETENDERS
Street	311 PARK PLACE BLVD STE 100
City	CLEARWATER
State	FL
ZIP	33765
Phone	727 584-1824
CertificateType	4
CertificateEffectiveDate	5/10/2024
CertificateExpirationDate	5/9/2026
FacilityType	Waiver

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