10D2259856 CLIA NUMBER - KEYSTONE HOME HEALTH D6 LLC

Laboratory Demographics

  • CLIA Code: 10D2259856
  • Facility Name: KEYSTONE HOME HEALTH D6 LLC
  • Facility Address: 10002 PRINCESS PALM DR - STE 216
    TAMPA, FL
    ZIP 33619
  • Facility Phone: 813 372-5777
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TAMMY L. MCDANIEL
  • NPI Number: 1902489966
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2259856
LAB Type Home Health Agency
Facility Name KEYSTONE HOME HEALTH D6 LLC
Street 10002 PRINCESS PALM DR - STE 216
City TAMPA
State FL
ZIP 33619
Phone 813 372-5777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Home Health Agency
Lab Director TAMMY L. MCDANIEL

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This page was last updated on: 6/4/2025