10D1090220 CLIA NUMBER - BGR ACQUISITION LLC DBA APEX HOME HEALTHCARE

Laboratory Demographics

  • CLIA Code: 10D1090220
  • Facility Name: BGR ACQUISITION LLC DBA APEX HOME HEALTHCARE
  • Facility Address: 1425 HAND AVENUE SUITE 1
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 615-7200
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KELLY A. FROMM
  • NPI Number: 1780708172
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D1090220
LAB Type Home Health Agency
Facility Name BGR ACQUISITION LLC DBA APEX HOME HEALTHCARE
Street 1425 HAND AVENUE SUITE 1
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 615-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Home Health Agency
Lab Director KELLY A. FROMM

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This page was last updated on: 3/20/2025