10D2172500 CLIA NUMBER - ATLANTIC HOME CARE, LLC

Laboratory Demographics

  • CLIA Code: 10D2172500
  • Facility Name: ATLANTIC HOME CARE, LLC
  • Facility Address: 7900 OAK LANE STE 400
    MIAMI LAKES, FL
    ZIP 33016
  • Facility Phone: 877 486-9140
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JACKELINE PLACENCIA
  • NPI Number: 1942582812
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2172500
LAB Type Home Health Agency
Facility Name ATLANTIC HOME CARE, LLC
Street 7900 OAK LANE STE 400
City MIAMI LAKES
State FL
ZIP 33016
Phone 877 486-9140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2023
Certificate Expiration Date 9/23/2025
Facility Type Home Health Agency
Lab Director JACKELINE PLACENCIA

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