10D1020775 CLIA NUMBER - ACTIFY HOME CARE INC

Laboratory Demographics

  • CLIA Code: 10D1020775
  • Facility Name: ACTIFY HOME CARE INC
  • Facility Address: 2005 NW 62ND STREET SUITE 206
    FORT LAUDERDALE, FL
    ZIP 33309
  • Facility Phone: 954 902-6049
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: YEHUDA WASSER
  • NPI Number: 1144337577
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D1020775
LAB Type Home Health Agency
Facility Name ACTIFY HOME CARE INC
Street 2005 NW 62ND STREET SUITE 206
City FORT LAUDERDALE
State FL
ZIP 33309
Phone 954 902-6049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Home Health Agency
Lab Director YEHUDA WASSER

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This page was last updated on: 6/4/2025