10D2195588 CLIA NUMBER - LHCG CLIV LLC DBA MEDERI CARETENDERS

Laboratory Demographics

  • CLIA Code: 10D2195588
  • Facility Name: LHCG CLIV LLC DBA MEDERI CARETENDERS
  • Facility Address: 1635 E HIGHWAY 50 SUITE 100
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: 352 241-7138
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AALIYA MARSHALL-GREENE
  • NPI Number: 1063045961
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2195588
LAB Type Home Health Agency
Facility Name LHCG CLIV LLC DBA MEDERI CARETENDERS
Street 1635 E HIGHWAY 50 SUITE 100
City CLERMONT
State FL
ZIP 34711
Phone 352 241-7138
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Home Health Agency
Lab Director AALIYA MARSHALL-GREENE

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