10D0998167 CLIA NUMBER - MATRIX HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 10D0998167
  • Facility Name: MATRIX HOME CARE LLC
  • Facility Address: 4801 S UNIVERSITY DRIVE
    DAVIE, FL
    ZIP 33328
  • Facility Phone: 954 957-7916
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PERNILLE OSTBERG
  • NPI Number: 1770843096
  • Taxonomy: 3747A0650X - Technician

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CLIA Record

Field Name Field Value
CLIA Number 10D0998167
LAB Type Home Health Agency
Facility Name MATRIX HOME CARE LLC
Street 4801 S UNIVERSITY DRIVE
City DAVIE
State FL
ZIP 33328
Phone 954 957-7916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Home Health Agency
Lab Director PERNILLE OSTBERG

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