10D1053674 CLIA NUMBER - COMMUNITY CARE PROVIDERS INC

Laboratory Demographics

  • CLIA Code: 10D1053674
  • Facility Name: COMMUNITY CARE PROVIDERS INC
  • Facility Address: 10031 PINES BLVD STE 105
    PEMBROKE PINES, FL
    ZIP 33024
  • Facility Phone: (954) 431-4245
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MR. HUGO LARA
  • NPI Number: 1982786976
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D1053674
LAB Type Home Health Agency
Facility Name COMMUNITY CARE PROVIDERS INC
Street 10031 PINES BLVD STE 105
City PEMBROKE PINES
State FL
ZIP 33024
Phone 9544314245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2026
Certificate Expiration Date 5/1/2028
Facility Type Home Health Agency
Lab Director MR. HUGO LARA

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This page was last updated on: 5/18/2026