45D0931773 CLIA NUMBER - CUIDADO CASERO HOME HEALTH OF LUBBOCK

Laboratory Demographics

CLIA Number: 45D0931773

Facility Name: CUIDADO CASERO HOME HEALTH OF LUBBOCK

Facility Address:
2118 BROADWAY AVENUE
LUBBOCK, TX
ZIP 79401
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Facility Phone Number: 806 785-7903

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1023095841

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	45D0931773
LAB Type	Home Health Agency
Facility Name	CUIDADO CASERO HOME HEALTH OF LUBBOCK
Street	2118 BROADWAY AVENUE
City	LUBBOCK
State	TX
ZIP	79401
Phone	806 785-7903
CertificateType	4
CertificateEffectiveDate	8/5/2023
CertificateExpirationDate	8/4/2025
FacilityType	Waiver

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