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10D2046069 CLIA NUMBER - ALIVIA CARE SOLUTIONS INC DBA ALLEGIANT HOME CARE

Laboratory Demographics

CLIA Number: 10D2046069

Facility Name: ALIVIA CARE SOLUTIONS INC DBA ALLEGIANT HOME CARE

Facility Address:
5450 RAMONA BLVD
JACKSONVILLE, FL
ZIP 32205
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Facility Phone Number: 904 361-3902

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1386908473

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 10D2046069
LAB Type Home Health Agency
Facility Name ALIVIA CARE SOLUTIONS INC DBA ALLEGIANT HOME CARE
Street 5450 RAMONA BLVD
City JACKSONVILLE
State FL
ZIP 32205
Phone 904 361-3902
CertificateType 4
CertificateEffectiveDate 8/24/2022
CertificateExpirationDate 8/23/2024
FacilityType Waiver

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