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10D2070849 CLIA NUMBER - IMPERIUM HEALTHCARE INC

Laboratory Demographics

CLIA Number: 10D2070849

Facility Name: IMPERIUM HEALTHCARE INC

Facility Address:
6611 US HWY 19 STE 207
NEW PORT RICHEY, FL
ZIP 34652
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Facility Phone Number: 727 807-6942

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1770925158

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 10D2070849
LAB Type Home Health Agency
Facility Name IMPERIUM HEALTHCARE INC
Street 6611 US HWY 19 STE 207
City NEW PORT RICHEY
State FL
ZIP 34652
Phone 727 807-6942
CertificateType 4
CertificateEffectiveDate 12/26/2023
CertificateExpirationDate 12/25/2025
FacilityType Waiver

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