10D1035954 CLIA NUMBER - LHCG CLVII LLC DBA MEDERI CARETENDERS

Laboratory Demographics

  • CLIA Code: 10D1035954
  • Facility Name: LHCG CLVII LLC DBA MEDERI CARETENDERS
  • Facility Address: 2170 W STATE ROAD 434 SUITE 250
    LONGWOOD, FL
    ZIP 32779
  • Facility Phone: 407 661-1963
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JAMIE M. MARSCHALL
  • NPI Number: 1568082402
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1035954
LAB Type Home Health Agency
Facility Name LHCG CLVII LLC DBA MEDERI CARETENDERS
Street 2170 W STATE ROAD 434 SUITE 250
City LONGWOOD
State FL
ZIP 32779
Phone 407 661-1963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Home Health Agency
Lab Director JAMIE M. MARSCHALL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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