25D2178164 CLIA NUMBER - NFINITY PRIVATE DUTY HOME HEALTH LLC DBA NFINITY LAB SOLUTIONS

Laboratory Demographics

CLIA Number: 25D2178164

Facility Name: NFINITY PRIVATE DUTY HOME HEALTH LLC DBA NFINITY LAB SOLUTIONS

Facility Address:
1814 COLUMBIA AVE STE B
PRENTISS, MS
ZIP 39474
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Facility Phone Number: 844 244-3180

Facility Type: Other - PRIV DUTY AGENCY

Certificate Type: Waiver

NPI Number: 1225520794

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 25D2178164
LAB Type Other - PRIV DUTY AGENCY
Facility Name NFINITY PRIVATE DUTY HOME HEALTH LLC DBA NFINITY LAB SOLUTIONS
Street 1814 COLUMBIA AVE STE B
City PRENTISS
State MS
ZIP 39474
Phone 844 244-3180
CertificateType 4
CertificateEffectiveDate 1/28/2024
CertificateExpirationDate 1/27/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024