10D2309764 CLIA NUMBER - BRIGHTSTAR FL/AL OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 10D2309764
  • Facility Name: BRIGHTSTAR FL/AL OPERATIONS LLC
  • Facility Address: 410 N DILLARD ST UNIT 102
    WINTER GARDEN, FL
    ZIP 34787
  • Facility Phone: 407 877-0720
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GENESIS SOULES
  • NPI Number: 1568013126
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2309764
LAB Type Home Health Agency
Facility Name BRIGHTSTAR FL/AL OPERATIONS LLC
Street 410 N DILLARD ST UNIT 102
City WINTER GARDEN
State FL
ZIP 34787
Phone 407 877-0720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Home Health Agency
Lab Director GENESIS SOULES

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