10D2290658 CLIA NUMBER - CONCORD HOME HEALTH CARE LLC

Laboratory Demographics

CLIA Number: 10D2290658

Facility Name: CONCORD HOME HEALTH CARE LLC

Facility Address:
1211 TECH BLVD - STE 110
TAMPA, FL
ZIP 33619
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Facility Phone Number: 813 490-5907

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1942083472

Taxonomy: 163WH0200X - Registered Nurse

CLIA Record

Field Name	Field Value
CLIA Number	10D2290658
LAB Type	Home Health Agency
Facility Name	CONCORD HOME HEALTH CARE LLC
Street	1211 TECH BLVD - STE 110
City	TAMPA
State	FL
ZIP	33619
Phone	813 490-5907
CertificateType	4
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	Waiver

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