45D0877516 CLIA NUMBER - AMERICAN MEDICAL HOME HEALTH SERVICES

Laboratory Demographics

CLIA Number: 45D0877516

Facility Name: AMERICAN MEDICAL HOME HEALTH SERVICES

Facility Address:
5151 FLYNN PKWY SUITE 100
CORPUS CHRISTI, TX
ZIP 78411
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Facility Phone Number: 361 887-9760

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1144390899

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	45D0877516
LAB Type	Home Health Agency
Facility Name	AMERICAN MEDICAL HOME HEALTH SERVICES
Street	5151 FLYNN PKWY SUITE 100
City	CORPUS CHRISTI
State	TX
ZIP	78411
Phone	361 887-9760
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

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