03D2137704 CLIA NUMBER - HACIENDA HOME HEALTH CARE INC

Laboratory Demographics

CLIA Number: 03D2137704

Facility Name: HACIENDA HOME HEALTH CARE INC

Facility Address:
5541 E GRANT RD
TUCSON, AZ
ZIP 85712
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Facility Phone Number: (520) 269-6091

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1386160695

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	03D2137704
LAB Type	HOME HEALTH AGENCY
Facility Name	HACIENDA HOME HEALTH CARE INC
Street	5541 E GRANT RD
City	TUCSON
State	AZ
ZIP	85712
Phone	(520) 269-6091

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This page was last updated on: 5/11/2023