10D1101698 CLIA NUMBER - ACTIVA HOME HEALTH

Laboratory Demographics

  • CLIA Code: 10D1101698
  • Facility Name: ACTIVA HOME HEALTH
  • Facility Address: 7451 WILES ROAD SUITE 207
    CORAL SPRINGS, FL
    ZIP 33067
  • Facility Phone: 954 344-1761
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CARY LIPSON
  • NPI Number: 1891043527
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D1101698
LAB Type Home Health Agency
Facility Name ACTIVA HOME HEALTH
Street 7451 WILES ROAD SUITE 207
City CORAL SPRINGS
State FL
ZIP 33067
Phone 954 344-1761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Home Health Agency
Lab Director CARY LIPSON

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