10D2312319 CLIA NUMBER - HOMESTEAD BEHAVIORAL CLINIC INC

Laboratory Demographics

  • CLIA Code: 10D2312319
  • Facility Name: HOMESTEAD BEHAVIORAL CLINIC INC
  • Facility Address: 654 NE 9TH PLACE
    HOMESTEAD, FL
    ZIP 33030
  • Facility Phone: 305 248-3488
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHERYN FERNANDEZ PAUL
  • NPI Number: 1770511479
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2312319
LAB Type Physician Office
Facility Name HOMESTEAD BEHAVIORAL CLINIC INC
Street 654 NE 9TH PLACE
City HOMESTEAD
State FL
ZIP 33030
Phone 305 248-3488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Physician Office
Lab Director KATHERYN FERNANDEZ PAUL

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