10D1103108 CLIA NUMBER - FLORIDA HOSPITAL HOME INFUSION LLP

Laboratory Demographics

CLIA Number: 10D1103108

Facility Name: FLORIDA HOSPITAL HOME INFUSION LLP

Facility Address:
556 FLORIDA CENTRAL PKWY # 1044
LONGWOOD, FL
ZIP 32750
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Facility Phone Number: 407 865-5489

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1679506620

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D1103108
LAB Type	Home Health Agency
Facility Name	FLORIDA HOSPITAL HOME INFUSION LLP
Street	556 FLORIDA CENTRAL PKWY # 1044
City	LONGWOOD
State	FL
ZIP	32750
Phone	407 865-5489
CertificateType	4
CertificateEffectiveDate	8/3/2023
CertificateExpirationDate	8/2/2025
FacilityType	Waiver

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