31D2070754 CLIA NUMBER - EPIC HEALTH SERVICE D/B/A AVEANNA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 31D2070754
  • Facility Name: EPIC HEALTH SERVICE D/B/A AVEANNA HEALTHCARE
  • Facility Address: 303 FELLOWSHIP ROAD SUITE 101
    MOUNT LAUREL, NJ
    ZIP 08054
  • Facility Phone: 856 780-1090
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA BERTHAUT
  • NPI Number: 1013248038
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 31D2070754
LAB Type Home Health Agency
Facility Name EPIC HEALTH SERVICE D/B/A AVEANNA HEALTHCARE
Street 303 FELLOWSHIP ROAD SUITE 101
City MOUNT LAUREL
State NJ
ZIP 08054
Phone 856 780-1090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Home Health Agency
Lab Director ALEXANDRA BERTHAUT

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