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10D1093402 CLIA NUMBER - ALBORADA HOME HEALTH OF TAMPA, INC DBA SOUTHEAST HOMECARE

Laboratory Demographics

CLIA Number: 10D1093402

Facility Name: ALBORADA HOME HEALTH OF TAMPA, INC DBA SOUTHEAST HOMECARE

Facility Address:
11300 4TH ST N - STE 250
SAINT PETERSBURG, FL
ZIP 33716
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Facility Phone Number: 727 546-8900

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1376724146

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 10D1093402
LAB Type Home Health Agency
Facility Name ALBORADA HOME HEALTH OF TAMPA, INC DBA SOUTHEAST HOMECARE
Street 11300 4TH ST N - STE 250
City SAINT PETERSBURG
State FL
ZIP 33716
Phone 727 546-8900
CertificateType 4
CertificateEffectiveDate 12/18/2022
CertificateExpirationDate 12/17/2024
FacilityType Waiver

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