10D1008361 CLIA NUMBER - TRADITIONAL HOME CARE INC

Laboratory Demographics

CLIA Number: 10D1008361

Facility Name: TRADITIONAL HOME CARE INC

Facility Address:
111 N BELCHER ROAD STE 102
CLEARWATER, FL
ZIP 33765
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Facility Phone Number: (727) 539-6116

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1508818626

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	10D1008361
LAB Type	HOME HEALTH AGENCY
Facility Name	TRADITIONAL HOME CARE INC
Street	111 N BELCHER ROAD STE 102
City	CLEARWATER
State	FL
ZIP	33765
Phone	(727) 539-6116

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This page was last updated on: 5/11/2023