10D2142265 CLIA NUMBER - KEY WEST HHA, LLC

Laboratory Demographics

  • CLIA Code: 10D2142265
  • Facility Name: KEY WEST HHA, LLC
  • Facility Address: 1718 N ROOSEVELT BLVD
    KEY WEST, FL
    ZIP 33040
  • Facility Phone: 305 735-4460
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SOPHIA THULIN
  • NPI Number: 1053833368
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2142265
LAB Type Home Health Agency
Facility Name KEY WEST HHA, LLC
Street 1718 N ROOSEVELT BLVD
City KEY WEST
State FL
ZIP 33040
Phone 305 735-4460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Home Health Agency
Lab Director SOPHIA THULIN

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