10D2255647 CLIA NUMBER - 360 HEALTH SERVICES, LLC

Laboratory Demographics

CLIA Number: 10D2255647

Facility Name: 360 HEALTH SERVICES, LLC

Facility Address:
23123 STATE ROAD 7 STE 345
BOCA RATON, FL
ZIP 33428
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Facility Phone Number: 855 360-5460

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1073150603

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	10D2255647
LAB Type	Home Health Agency
Facility Name	360 HEALTH SERVICES, LLC
Street	23123 STATE ROAD 7 STE 345
City	BOCA RATON
State	FL
ZIP	33428
Phone	855 360-5460
CertificateType	4
CertificateEffectiveDate	3/16/2024
CertificateExpirationDate	3/15/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024