10D2112159 CLIA NUMBER - AEGEAN HOMECARE

Laboratory Demographics

  • CLIA Code: 10D2112159
  • Facility Name: AEGEAN HOMECARE
  • Facility Address: 3016 US HWY 301 N - SUITE 350
    TAMPA, FL
    ZIP 33619
  • Facility Phone: 813 335-5597
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PAUL A. HABER
  • NPI Number: 1922465368
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2112159
LAB Type Home Health Agency
Facility Name AEGEAN HOMECARE
Street 3016 US HWY 301 N - SUITE 350
City TAMPA
State FL
ZIP 33619
Phone 813 335-5597
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Home Health Agency
Lab Director PAUL A. HABER

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