10D1039251 CLIA NUMBER - SOUTHEAST HOMECARE ACQUISITION CORPORATION

Laboratory Demographics

  • CLIA Code: 10D1039251
  • Facility Name: SOUTHEAST HOMECARE ACQUISITION CORPORATION
  • Facility Address: 3125 W COMMERCIAL BLVD STE 110
    FORT LAUDERDALE, FL
    ZIP 33309
  • Facility Phone: (954) 615-6200
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JUSTIN SIO
  • NPI Number: 1003041823
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1039251
LAB Type Home Health Agency
Facility Name SOUTHEAST HOMECARE ACQUISITION CORPORATION
Street 3125 W COMMERCIAL BLVD STE 110
City FORT LAUDERDALE
State FL
ZIP 33309
Phone 9546156200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Home Health Agency
Lab Director JUSTIN SIO

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: 5/18/2026