10D2246226 CLIA NUMBER - ALLSTAR HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2246226
  • Facility Name: ALLSTAR HOME CARE LLC
  • Facility Address: 12724 GRAN BAY PKWY W STE 410
    JACKSONVILLE, FL
    ZIP 32258
  • Facility Phone: 904 688-5100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AMOGELANG M. KEAKOPA
  • NPI Number: 1255979639
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2246226
LAB Type Home Health Agency
Facility Name ALLSTAR HOME CARE LLC
Street 12724 GRAN BAY PKWY W STE 410
City JACKSONVILLE
State FL
ZIP 32258
Phone 904 688-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Home Health Agency
Lab Director AMOGELANG M. KEAKOPA

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