10D2024359 CLIA NUMBER - ATLANTIC HOME CARE LLC

Laboratory Demographics

  • Code: 10D2024359
  • Facility Name: ATLANTIC HOME CARE LLC
  • Facility Address: 2415 N UNIVERSITY DRIVE
    CORAL SPRINGS, FL
    ZIP 33065
  • Facility Phone: 954 363-1363
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • NPI Number: 1568764348
  • Taxonomy: 251E00000X - Home Health
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CLIA Record

Field Name Field Value
CLIA Number 10D2024359
LAB Type Home Health Agency
Facility Name ATLANTIC HOME CARE LLC
Street 2415 N UNIVERSITY DRIVE
City CORAL SPRINGS
State FL
ZIP 33065
Phone 954 363-1363
Certificate Type 4
Certificate Effective Date 5/13/2023
Certificate Expiration Date 5/12/2025
Facility Type Waiver

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