10D2295884 CLIA NUMBER - HOME CARE FOR THE 21ST CENTURY-CLW

Laboratory Demographics

  • CLIA Code: 10D2295884
  • Facility Name: HOME CARE FOR THE 21ST CENTURY-CLW
  • Facility Address: 1261 S FORT HARRISON AVE, SUITE 3
    CLEARWATER, FL
    ZIP 33756
  • Facility Phone: 727 324-3002
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TIFFANY GREEN
  • NPI Number: 1740976729
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2295884
LAB Type Home Health Agency
Facility Name HOME CARE FOR THE 21ST CENTURY-CLW
Street 1261 S FORT HARRISON AVE, SUITE 3
City CLEARWATER
State FL
ZIP 33756
Phone 727 324-3002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Home Health Agency
Lab Director TIFFANY GREEN

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