10D2250898 CLIA NUMBER - ADVANCE SAM CARE, INC

Laboratory Demographics

  • CLIA Code: 10D2250898
  • Facility Name: ADVANCE SAM CARE, INC
  • Facility Address: 2101 VISTA PARKWAY SUITE 200
    WEST PALM BEACH, FL
    ZIP 33411
  • Facility Phone: 561 228-7450
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DELISSER TIBAB
  • NPI Number: 1316607187
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2250898
LAB Type Home Health Agency
Facility Name ADVANCE SAM CARE, INC
Street 2101 VISTA PARKWAY SUITE 200
City WEST PALM BEACH
State FL
ZIP 33411
Phone 561 228-7450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Home Health Agency
Lab Director DELISSER TIBAB

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