10D1085415 CLIA NUMBER - TEAM SELECT HOME CARE

Laboratory Demographics

  • CLIA Code: 10D1085415
  • Facility Name: TEAM SELECT HOME CARE
  • Facility Address: 8200 NW 41ST RD, STE 305
    DORAL, FL
    ZIP 33166
  • Facility Phone: 305 592-1842
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: YAMILY FUENTES
  • NPI Number: 1992167910
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1085415
LAB Type Home Health Agency
Facility Name TEAM SELECT HOME CARE
Street 8200 NW 41ST RD, STE 305
City DORAL
State FL
ZIP 33166
Phone 305 592-1842
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Home Health Agency
Lab Director YAMILY FUENTES

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