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10D1038954 CLIA NUMBER - LIFESPRING HOME CARE OF TAMPA

Laboratory Demographics

CLIA Number: 10D1038954

Facility Name: LIFESPRING HOME CARE OF TAMPA

Facility Address:
14035 N DALE MABRY HWY UNIT N-18
TAMPA, FL
ZIP 33618
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Facility Phone Number: 727 410-5256

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1881623056

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 10D1038954
LAB Type Home Health Agency
Facility Name LIFESPRING HOME CARE OF TAMPA
Street 14035 N DALE MABRY HWY UNIT N-18
City TAMPA
State FL
ZIP 33618
Phone 727 410-5256
CertificateType 4
CertificateEffectiveDate 3/30/2023
CertificateExpirationDate 3/29/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024