10D2304981 CLIA NUMBER - ESSENTIAL HEALTHCARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 10D2304981
  • Facility Name: ESSENTIAL HEALTHCARE SERVICES, INC
  • Facility Address: 13506 N ROME ST - #102
    TAMPA, FL
    ZIP 33613
  • Facility Phone: 813 549-6123
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DANIELLE JACKSON
  • NPI Number: 1578254801
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2304981
LAB Type Home Health Agency
Facility Name ESSENTIAL HEALTHCARE SERVICES, INC
Street 13506 N ROME ST - #102
City TAMPA
State FL
ZIP 33613
Phone 813 549-6123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Home Health Agency
Lab Director DANIELLE JACKSON

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