10D1085969 CLIA NUMBER - GENESIS HEALTHCARE LLC DBA ORIGIN HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 10D1085969
  • Facility Name: GENESIS HEALTHCARE LLC DBA ORIGIN HOME HEALTH CARE
  • Facility Address: 441 APOLLO BEACH BLVD
    APOLLO BEACH, FL
    ZIP 33572
  • Facility Phone: 813 672-3949
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARIA CLAUDIA CARACO
  • NPI Number: 1437335627
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D1085969
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GENESIS HEALTHCARE LLC DBA ORIGIN HOME HEALTH CARE
Street 441 APOLLO BEACH BLVD
City APOLLO BEACH
State FL
ZIP 33572
Phone 813 672-3949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARIA CLAUDIA CARACO

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