10D1030279 CLIA NUMBER - EMPATH TIDEWELL HOSPICE

Laboratory Demographics

  • CLIA Code: 10D1030279
  • Facility Name: EMPATH TIDEWELL HOSPICE
  • Facility Address: 5957 RAND BLVD
    SARASOTA, FL
    ZIP 34238
  • Facility Phone: 941 552-7691
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KERRY HOERNER
  • NPI Number: 1417954645
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 10D1030279
LAB Type Home Health Agency
Facility Name EMPATH TIDEWELL HOSPICE
Street 5957 RAND BLVD
City SARASOTA
State FL
ZIP 34238
Phone 941 552-7691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Home Health Agency
Lab Director KERRY HOERNER

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