10D2080687 CLIA NUMBER - STAT HEALTHCARE AGENCY

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Laboratory Demographics

CLIA Number: 10D2080687

Facility Name: STAT HEALTHCARE AGENCY

Facility Address:
160 NORTHWEST 176TH STREET, STE 306
MIAMI GARDENS, FL
ZIP 33169
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Facility Phone Number: 305 460-2267

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1225453590

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	10D2080687
LAB Type	Home Health Agency
Facility Name	STAT HEALTHCARE AGENCY
Street	160 NORTHWEST 176TH STREET, STE 306
City	MIAMI GARDENS
State	FL
ZIP	33169
Phone	305 460-2267
CertificateType	4
CertificateEffectiveDate	7/14/2022
CertificateExpirationDate	7/13/2024
FacilityType	Waiver

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