10D2241054 CLIA NUMBER - PRIME SUPPORT CARE INC

Laboratory Demographics

  • CLIA Code: 10D2241054
  • Facility Name: PRIME SUPPORT CARE INC
  • Facility Address: 12750 SW 128 ST SUITE 203
    MIAMI, FL
    ZIP 33186
  • Facility Phone: 786 536-9416
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: YAIMA BONET
  • NPI Number: 1457840050
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2241054
LAB Type Home Health Agency
Facility Name PRIME SUPPORT CARE INC
Street 12750 SW 128 ST SUITE 203
City MIAMI
State FL
ZIP 33186
Phone 786 536-9416
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Home Health Agency
Lab Director YAIMA BONET

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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