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

Laboratory Demographics

  • CLIA Code: 10D2274512
  • Facility Name: LHCG CLX LLC DBA MEDERI PRIVATE CARE
  • Facility Address: 1117 SOUTH WESTMORELAND DRIVE SUITE C
    ORLANDO, FL
    ZIP 32805
  • Facility Phone: 407 644-2433
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RAYMOND LIERMANN
  • NPI Number: 1821618570
  • Taxonomy: 251J00000X - Nursing Care

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Home Health Agency
Lab Director RAYMOND LIERMANN

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