Healther Providers Data Logo

45D0922698 CLIA NUMBER - SURE HOME HEALTH SERVICES

Laboratory Demographics

CLIA Number: 45D0922698

Facility Name: SURE HOME HEALTH SERVICES

Facility Address:
12115 SELF PLAZA DRIVE
DALLAS, TX
ZIP 75218
Get Directions

Facility Phone Number: 214 221-1338

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1730296849

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 45D0922698
LAB Type Home Health Agency
Facility Name SURE HOME HEALTH SERVICES
Street 12115 SELF PLAZA DRIVE
City DALLAS
State TX
ZIP 75218
Phone 214 221-1338
CertificateType 4
CertificateEffectiveDate 12/4/2022
CertificateExpirationDate 12/3/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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