10D2297425 CLIA NUMBER - VIP FAMILY HHC, LLC

Laboratory Demographics

  • CLIA Code: 10D2297425
  • Facility Name: VIP FAMILY HHC, LLC
  • Facility Address: 7362 FUTURES DR SUITE 14 OFFICE 106
    ORLANDO, FL
    ZIP 32819
  • Facility Phone: 321 272-3345
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: OCTAVIO DEJESUS CRUZ MARTINEZ
  • NPI Number: 1992571376
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2297425
LAB Type Home Health Agency
Facility Name VIP FAMILY HHC, LLC
Street 7362 FUTURES DR SUITE 14 OFFICE 106
City ORLANDO
State FL
ZIP 32819
Phone 321 272-3345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Home Health Agency
Lab Director OCTAVIO DEJESUS CRUZ MARTINEZ

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