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10D2262682 CLIA NUMBER - HEAVENLY TOUCH OF CLASS HOMEMAKER & COMPANION SERVICES, LLC

Laboratory Demographics

CLIA Number: 10D2262682

Facility Name: HEAVENLY TOUCH OF CLASS HOMEMAKER & COMPANION SERVICES, LLC

Facility Address:
12421 N FLORIDA AVE, STE 122
TAMPA, FL
ZIP 33612
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Facility Phone Number: 813 995-5682

Facility Type: Mobile Laboratory

Certificate Type: Waiver
NPI Number: 1942809488

Taxonomy: 253J00000X - Foster Care Agency
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

CLIA Record

Field Name Field Value
CLIA Number 10D2262682
LAB Type Mobile Laboratory
Facility Name HEAVENLY TOUCH OF CLASS HOMEMAKER & COMPANION SERVICES, LLC
Street 12421 N FLORIDA AVE, STE 122
City TAMPA
State FL
ZIP 33612
Phone 813 995-5682
CertificateType 4
CertificateEffectiveDate 6/16/2022
CertificateExpirationDate 6/15/2024
FacilityType Waiver

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