10D1055483 CLIA NUMBER - PREMIER CARE HOMECARE LLC

Laboratory Demographics

  • CLIA Code: 10D1055483
  • Facility Name: PREMIER CARE HOMECARE LLC
  • Facility Address: 1218 W DIXIE AVE SUITE B
    LEESBURG, FL
    ZIP 34748
  • Facility Phone: (352) 365-7850
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TANYA L. ANDERSON
  • NPI Number: 1619990595
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D1055483
LAB Type Home Health Agency
Facility Name PREMIER CARE HOMECARE LLC
Street 1218 W DIXIE AVE SUITE B
City LEESBURG
State FL
ZIP 34748
Phone 3523657850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2026
Certificate Expiration Date 6/18/2028
Facility Type Home Health Agency
Lab Director TANYA L. ANDERSON

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This page was last updated on: 9/8/2026