10D1076398 CLIA NUMBER - PSN HEALTH CARE CORP

Laboratory Demographics

CLIA Number: 10D1076398

Facility Name: PSN HEALTH CARE CORP

Facility Address:
17670 NW 78TH AVE STE 213
MIAMI, FL
ZIP 33015
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Facility Phone Number: 305 698-5295

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1699969519

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	10D1076398
LAB Type	Home Health Agency
Facility Name	PSN HEALTH CARE CORP
Street	17670 NW 78TH AVE STE 213
City	MIAMI
State	FL
ZIP	33015
Phone	305 698-5295
CertificateType	4
CertificateEffectiveDate	11/13/2023
CertificateExpirationDate	11/12/2025
FacilityType	Waiver

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