10D1101515 CLIA NUMBER - TLAY HEALTHCARE SERVICES INC

Laboratory Demographics

  • CLIA Code: 10D1101515
  • Facility Name: TLAY HEALTHCARE SERVICES INC
  • Facility Address: 2802 N 5TH STREET
    SAINT AUGUSTINE, FL
    ZIP 32084
  • Facility Phone: 904 794-7601
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: IMELDA A. NWOGA
  • NPI Number: 1386835874
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D1101515
LAB Type Home Health Agency
Facility Name TLAY HEALTHCARE SERVICES INC
Street 2802 N 5TH STREET
City SAINT AUGUSTINE
State FL
ZIP 32084
Phone 904 794-7601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Home Health Agency
Lab Director IMELDA A. NWOGA

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