10D2144249 CLIA NUMBER - ELITE PREMIER NURSING SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2144249
  • Facility Name: ELITE PREMIER NURSING SERVICES LLC
  • Facility Address: 560 VILLAGE BLVD STE 325
    WEST PALM BEACH, FL
    ZIP 33409
  • Facility Phone: 561 766-0612
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CAMILLE BLAKE
  • NPI Number: 1912411372
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2144249
LAB Type Home Health Agency
Facility Name ELITE PREMIER NURSING SERVICES LLC
Street 560 VILLAGE BLVD STE 325
City WEST PALM BEACH
State FL
ZIP 33409
Phone 561 766-0612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Home Health Agency
Lab Director CAMILLE BLAKE

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