10D1074258 CLIA NUMBER - HOME LIFE LLC

Laboratory Demographics

  • CLIA Code: 10D1074258
  • Facility Name: HOME LIFE LLC
  • Facility Address: 175 FONTAINBLEAU BLVD STE 1G3
    MIAMI, FL
    ZIP 33172
  • Facility Phone: 305 225-3900
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JORGE M. TRUEBA
  • NPI Number: 1033298039
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D1074258
LAB Type Home Health Agency
Facility Name HOME LIFE LLC
Street 175 FONTAINBLEAU BLVD STE 1G3
City MIAMI
State FL
ZIP 33172
Phone 305 225-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Home Health Agency
Lab Director JORGE M. TRUEBA

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