10D2285242 CLIA NUMBER - CCMEDIC HOMECARE LLC

Laboratory Demographics

  • CLIA Code: 10D2285242
  • Facility Name: CCMEDIC HOMECARE LLC
  • Facility Address: 7320 E FLETCHER AVE - STE 155
    TAMPA, FL
    ZIP 33637
  • Facility Phone: 813 944-2243
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOSEPH IDONGESIT
  • NPI Number: 1376245381
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2285242
LAB Type Home Health Agency
Facility Name CCMEDIC HOMECARE LLC
Street 7320 E FLETCHER AVE - STE 155
City TAMPA
State FL
ZIP 33637
Phone 813 944-2243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Home Health Agency
Lab Director JOSEPH IDONGESIT

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