10D2157767 CLIA NUMBER - FOOTPRINTS HOME CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2157767
  • Facility Name: FOOTPRINTS HOME CARE SERVICES LLC
  • Facility Address: 35324 STATE RD 54
    ZEPHYRHILLS, FL
    ZIP 33541
  • Facility Phone: 813 345-7067
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GETRUDE NTUMNGIA
  • NPI Number: 1679092985
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2157767
LAB Type Home Health Agency
Facility Name FOOTPRINTS HOME CARE SERVICES LLC
Street 35324 STATE RD 54
City ZEPHYRHILLS
State FL
ZIP 33541
Phone 813 345-7067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Home Health Agency
Lab Director GETRUDE NTUMNGIA

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This page was last updated on: 6/4/2025