10D2274558 CLIA NUMBER - ANGEL'S PROFESSIONAL CARE INC

Laboratory Demographics

  • CLIA Code: 10D2274558
  • Facility Name: ANGEL'S PROFESSIONAL CARE INC
  • Facility Address: 24714 STATE RD 54
    LUTZ, FL
    ZIP 33559
  • Facility Phone: 813 843-6273
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DAMARYS PEREZ
  • NPI Number: 1023741493
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2274558
LAB Type Home Health Agency
Facility Name ANGEL'S PROFESSIONAL CARE INC
Street 24714 STATE RD 54
City LUTZ
State FL
ZIP 33559
Phone 813 843-6273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Home Health Agency
Lab Director DAMARYS PEREZ

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