10D2274512 CLIA NUMBER - LHCG CLX LLC DBA MEDERI PRIVATE CARE

Laboratory Demographics

CLIA Number: 10D2274512

Facility Name: LHCG CLX LLC DBA MEDERI PRIVATE CARE

Facility Address:
1117 SOUTH WESTMORELAND DRIVE SUITE C
ORLANDO, FL
ZIP 32805
Get Directions

Facility Phone Number: 407 644-2433

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1821618570

Taxonomy: 251J00000X - Nursing Care
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

CLIA Record

Field Name	Field Value
CLIA Number	10D2274512
LAB Type	Home Health Agency
Facility Name	LHCG CLX LLC DBA MEDERI PRIVATE CARE
Street	1117 SOUTH WESTMORELAND DRIVE SUITE C
City	ORLANDO
State	FL
ZIP	32805
Phone	407 644-2433
CertificateType	4
CertificateEffectiveDate	1/5/2023
CertificateExpirationDate	1/4/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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