10D1074585 CLIA NUMBER - CLP HOME HEALTH SERVICE CORP

Laboratory Demographics

CLIA Number: 10D1074585

Facility Name: CLP HOME HEALTH SERVICE CORP

Facility Address:
7805 CORAL WAY, SUITE 116
MIAMI, FL
ZIP 33155
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Facility Phone Number: 305 718-4949

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1407041551

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	10D1074585
LAB Type	Home Health Agency
Facility Name	CLP HOME HEALTH SERVICE CORP
Street	7805 CORAL WAY, SUITE 116
City	MIAMI
State	FL
ZIP	33155
Phone	305 718-4949
CertificateType	4
CertificateEffectiveDate	10/2/2023
CertificateExpirationDate	10/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024