10D2110835 CLIA NUMBER - DYNAMIKS HOME CARE INC

Laboratory Demographics

  • CLIA Code: 10D2110835
  • Facility Name: DYNAMIKS HOME CARE INC
  • Facility Address: 4501 NORTH WICKHAM ROAD STE 104
    MELBOURNE, FL
    ZIP 32935
  • Facility Phone: 321 610-8765
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AVA HOLLINGSWORTH
  • NPI Number: 1447611173
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2110835
LAB Type Home Health Agency
Facility Name DYNAMIKS HOME CARE INC
Street 4501 NORTH WICKHAM ROAD STE 104
City MELBOURNE
State FL
ZIP 32935
Phone 321 610-8765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Home Health Agency
Lab Director AVA HOLLINGSWORTH

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This page was last updated on: 9/29/2025