10D2019633 CLIA NUMBER - SOUTHEAST HOMECARE

Laboratory Demographics

  • CLIA Code: 10D2019633
  • Facility Name: SOUTHEAST HOMECARE
  • Facility Address: 604 COURTLAND STREET, SUITE 100 AND 170
    ORLANDO, FL
    ZIP 32804
  • Facility Phone: 407 382-1240
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TANIA BROWN
  • NPI Number: 1033162011
  • Taxonomy: 363AS0400X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 10D2019633
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTHEAST HOMECARE
Street 604 COURTLAND STREET, SUITE 100 AND 170
City ORLANDO
State FL
ZIP 32804
Phone 407 382-1240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TANIA BROWN

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