10D1096706 CLIA NUMBER - CROWN HOME CARE INC

Laboratory Demographics

  • CLIA Code: 10D1096706
  • Facility Name: CROWN HOME CARE INC
  • Facility Address: 1130 E DONEGAN AVE #8
    KISSIMMEE, FL
    ZIP 34744
  • Facility Phone: 407 933-7570
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: WILLIAMS R. MINNETTE
  • NPI Number: 1750562567
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D1096706
LAB Type Home Health Agency
Facility Name CROWN HOME CARE INC
Street 1130 E DONEGAN AVE #8
City KISSIMMEE
State FL
ZIP 34744
Phone 407 933-7570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Home Health Agency
Lab Director WILLIAMS R. MINNETTE

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