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45D0927378 CLIA NUMBER - INTERIM HEALTHCARE OF WEST TEXAS LLC D/B/A INTERIM HEALTHCARE OF AMARILLO

Laboratory Demographics

CLIA Number: 45D0927378

Facility Name: INTERIM HEALTHCARE OF WEST TEXAS LLC D/B/A INTERIM HEALTHCARE OF AMARILLO

Facility Address:
3501 S SONCY STE 134
AMARILLO, TX
ZIP 79119
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Facility Phone Number: 806 288-0220

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1437104221

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 45D0927378
LAB Type Home Health Agency
Facility Name INTERIM HEALTHCARE OF WEST TEXAS LLC D/B/A INTERIM HEALTHCARE OF AMARILLO
Street 3501 S SONCY STE 134
City AMARILLO
State TX
ZIP 79119
Phone 806 288-0220
CertificateType 4
CertificateEffectiveDate 4/18/2023
CertificateExpirationDate 4/17/2025
FacilityType Waiver

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