10D0975677 CLIA NUMBER - GIFTED HEALTH GROUP INC

Laboratory Demographics

CLIA Number: 10D0975677

Facility Name: GIFTED HEALTH GROUP INC

Facility Address:
111 NW 183RD ST, STE 110A
MIAMI GARDENS, FL
ZIP 33169
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Facility Phone Number: 305 405-6553

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1194861690

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 10D0975677
LAB Type Home Health Agency
Facility Name GIFTED HEALTH GROUP INC
Street 111 NW 183RD ST, STE 110A
City MIAMI GARDENS
State FL
ZIP 33169
Phone 305 405-6553
CertificateType 4
CertificateEffectiveDate 7/13/2022
CertificateExpirationDate 7/12/2024
FacilityType Waiver

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