10D2170392 CLIA NUMBER - COVENANT HOME HEALTH CARE 4 LLC

Laboratory Demographics

  • CLIA Code: 10D2170392
  • Facility Name: COVENANT HOME HEALTH CARE 4 LLC
  • Facility Address: 8206 PHILIPS HWY UNIT 8
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 850 433-2155
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: WHITNEY TRELOAR
  • NPI Number: 1093870594
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 10D2170392
LAB Type Home Health Agency
Facility Name COVENANT HOME HEALTH CARE 4 LLC
Street 8206 PHILIPS HWY UNIT 8
City JACKSONVILLE
State FL
ZIP 32256
Phone 850 433-2155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Home Health Agency
Lab Director WHITNEY TRELOAR

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