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10D0973525 CLIA NUMBER - BAYCARE HOME CARE, INC DBA BAYCARE HOME CARE/LAKELAND REGIONAL HEALTH

Laboratory Demographics

CLIA Number: 10D0973525

Facility Name: BAYCARE HOME CARE, INC DBA BAYCARE HOME CARE/LAKELAND REGIONAL HEALTH

Facility Address:
20 LAKE WIRE DR, STE 230
LAKELAND, FL
ZIP 33815
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Facility Phone Number: 863 665-8866

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1952309171

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 10D0973525
LAB Type Home Health Agency
Facility Name BAYCARE HOME CARE, INC DBA BAYCARE HOME CARE/LAKELAND REGIONAL HEALTH
Street 20 LAKE WIRE DR, STE 230
City LAKELAND
State FL
ZIP 33815
Phone 863 665-8866
CertificateType 4
CertificateEffectiveDate 5/9/2024
CertificateExpirationDate 5/8/2026
FacilityType Waiver

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