10D2169372 CLIA NUMBER - KEN CARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 10D2169372
  • Facility Name: KEN CARE SERVICES, INC
  • Facility Address: 5740 SHERIDAN STREET
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 754 221-0107
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: OYEFEMI OLOWONIYI
  • NPI Number: 1003588666
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2169372
LAB Type Home Health Agency
Facility Name KEN CARE SERVICES, INC
Street 5740 SHERIDAN STREET
City HOLLYWOOD
State FL
ZIP 33021
Phone 754 221-0107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Home Health Agency
Lab Director OYEFEMI OLOWONIYI

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