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10D2258637 CLIA NUMBER - MAKING MEMORIES HOME HEALTH INC

Laboratory Demographics

CLIA Number: 10D2258637

Facility Name: MAKING MEMORIES HOME HEALTH INC

Facility Address:
7827 N DALE MABRY HWY STE 212
TAMPA, FL
ZIP 33614
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Facility Phone Number: 813 931-0015

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1750046231

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 10D2258637
LAB Type Home Health Agency
Facility Name MAKING MEMORIES HOME HEALTH INC
Street 7827 N DALE MABRY HWY STE 212
City TAMPA
State FL
ZIP 33614
Phone 813 931-0015
CertificateType 4
CertificateEffectiveDate 4/25/2024
CertificateExpirationDate 4/24/2026
FacilityType Waiver

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