10D0962172 CLIA NUMBER - FATIMA HOME CARE INC

Laboratory Demographics

  • CLIA Code: 10D0962172
  • Facility Name: FATIMA HOME CARE INC
  • Facility Address: 1454 SW 1 STREET SUITE 120
    MIAMI, FL
    ZIP 33136
  • Facility Phone: 305 631-0029
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PEDRO R. YDAVOY
  • NPI Number: 1669432852
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D0962172
LAB Type Home Health Agency
Facility Name FATIMA HOME CARE INC
Street 1454 SW 1 STREET SUITE 120
City MIAMI
State FL
ZIP 33136
Phone 305 631-0029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Home Health Agency
Lab Director PEDRO R. YDAVOY

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