10D2163610 CLIA NUMBER - AJL NURSING SERVICES LLC DBA CONCIERGE HOME CARE

Laboratory Demographics

  • CLIA Code: 10D2163610
  • Facility Name: AJL NURSING SERVICES LLC DBA CONCIERGE HOME CARE
  • Facility Address: 2090 W EAU GALLIE BLVD STE B
    MELBOURNE, FL
    ZIP 32935
  • Facility Phone: 813 802-4486
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TIFFNIE HENRY
  • NPI Number: 1184183022
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2163610
LAB Type Home Health Agency
Facility Name AJL NURSING SERVICES LLC DBA CONCIERGE HOME CARE
Street 2090 W EAU GALLIE BLVD STE B
City MELBOURNE
State FL
ZIP 32935
Phone 813 802-4486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Home Health Agency
Lab Director TIFFNIE HENRY

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