45D0920681 CLIA NUMBER - AT HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 45D0920681
  • Facility Name: AT HOME CARE LLC
  • Facility Address: 1109 BROOK AVE
    WICHITA FALLS, TX
    ZIP 76301
  • Facility Phone: 817 766-4663
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHARLENE E. CLUTE
  • NPI Number: 1225034390
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0920681
LAB Type Home Health Agency
Facility Name AT HOME CARE LLC
Street 1109 BROOK AVE
City WICHITA FALLS
State TX
ZIP 76301
Phone 817 766-4663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Home Health Agency
Lab Director CHARLENE E. CLUTE

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