10D2228810 CLIA NUMBER - PREMIUM CARE HEALTH SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 10D2228810
  • Facility Name: PREMIUM CARE HEALTH SERVICES, LLC
  • Facility Address: 10300 SW 72ND STREET, SUITE 204B
    MIAMI, FL
    ZIP 33173
  • Facility Phone: 305 336-6275
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SAMANTHA GUILLEN
  • NPI Number: 1760051171
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 10D2228810
LAB Type Home Health Agency
Facility Name PREMIUM CARE HEALTH SERVICES, LLC
Street 10300 SW 72ND STREET, SUITE 204B
City MIAMI
State FL
ZIP 33173
Phone 305 336-6275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Home Health Agency
Lab Director SAMANTHA GUILLEN

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