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10D2020710 CLIA NUMBER - DISCOVERY AT HOME, LLC

Laboratory Demographics

CLIA Number: 10D2020710

Facility Name: DISCOVERY AT HOME, LLC

Facility Address:
3461 BONITA BAY BLVD, STE 101
BONITA SPRINGS, FL
ZIP 34134
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Facility Phone Number: 239 676-2080

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1427352558

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 10D2020710
LAB Type Home Health Agency
Facility Name DISCOVERY AT HOME, LLC
Street 3461 BONITA BAY BLVD, STE 101
City BONITA SPRINGS
State FL
ZIP 34134
Phone 239 676-2080
CertificateType 4
CertificateEffectiveDate 10/16/2023
CertificateExpirationDate 10/15/2025
FacilityType Waiver

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