45D0928295 CLIA NUMBER - MAXIM HEALTHCARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 45D0928295
  • Facility Name: MAXIM HEALTHCARE SERVICES, INC
  • Facility Address: 901 WEST ROSEDALE ST SUITE 150
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 877-0904
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PAIGE FISHER
  • NPI Number: 1538123740
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0928295
LAB Type Home Health Agency
Facility Name MAXIM HEALTHCARE SERVICES, INC
Street 901 WEST ROSEDALE ST SUITE 150
City FORT WORTH
State TX
ZIP 76104
Phone 817 877-0904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Home Health Agency
Lab Director PAIGE FISHER

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