10D2261559 CLIA NUMBER - VITALITY HOME HEALTH AGENCY OF FL

Laboratory Demographics

  • CLIA Code: 10D2261559
  • Facility Name: VITALITY HOME HEALTH AGENCY OF FL
  • Facility Address: 4000 HOLLYWOOD BLVD HILLS SUITE 555-S
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 929 260-3558
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: NATALYA CHORNAYA
  • NPI Number: 1376920520
  • Taxonomy: 2279C0205X - Respiratory Therapist, Registered

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CLIA Record

Field Name Field Value
CLIA Number 10D2261559
LAB Type Home Health Agency
Facility Name VITALITY HOME HEALTH AGENCY OF FL
Street 4000 HOLLYWOOD BLVD HILLS SUITE 555-S
City HOLLYWOOD
State FL
ZIP 33021
Phone 929 260-3558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Home Health Agency
Lab Director NATALYA CHORNAYA

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