10D1046338 CLIA NUMBER - SOUTHEAST HOMECARE CORPORATION

Laboratory Demographics

  • CLIA Code: 10D1046338
  • Facility Name: SOUTHEAST HOMECARE CORPORATION
  • Facility Address: 1200 NW 17TH AVE STE 10
    DELRAY BEACH, FL
    ZIP 33445
  • Facility Phone: 561 819-6400
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MINDY J. RICHMAN
  • NPI Number: 1619102407
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D1046338
LAB Type Home Health Agency
Facility Name SOUTHEAST HOMECARE CORPORATION
Street 1200 NW 17TH AVE STE 10
City DELRAY BEACH
State FL
ZIP 33445
Phone 561 819-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Home Health Agency
Lab Director MINDY J. RICHMAN

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