10D2324602 CLIA NUMBER - ALLY HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2324602
  • Facility Name: ALLY HOME CARE LLC
  • Facility Address: 4000 HOLLYWOOD BLVD, SUITE 555S UNIT 518
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 786 200-6100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ERIKA AVILA
  • NPI Number: 1962234054
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2324602
LAB Type Home Health Agency
Facility Name ALLY HOME CARE LLC
Street 4000 HOLLYWOOD BLVD, SUITE 555S UNIT 518
City HOLLYWOOD
State FL
ZIP 33021
Phone 786 200-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Home Health Agency
Lab Director ERIKA AVILA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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