10D0977466 CLIA NUMBER - MAXICARE SELECT INC

Laboratory Demographics

  • CLIA Code: 10D0977466
  • Facility Name: MAXICARE SELECT INC
  • Facility Address: 4300 N UNIVERSITY DR, STE D106
    LAUDERHILL, FL
    ZIP 33351
  • Facility Phone: 954 771-2399
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHAD BEAVERS
  • NPI Number: 1467678813
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D0977466
LAB Type Home Health Agency
Facility Name MAXICARE SELECT INC
Street 4300 N UNIVERSITY DR, STE D106
City LAUDERHILL
State FL
ZIP 33351
Phone 954 771-2399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Home Health Agency
Lab Director SHAD BEAVERS

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