45D0975529 CLIA NUMBER - PRIME CARE MEDICAL SVC

Laboratory Demographics

CLIA Number: 45D0975529

Facility Name: PRIME CARE MEDICAL SVC

Facility Address:
900 12TH STREET
HEMPSTEAD, TX
ZIP 77445
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Facility Phone Number: 979 826-3198

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1851479851

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 45D0975529
LAB Type Home Health Agency
Facility Name PRIME CARE MEDICAL SVC
Street 900 12TH STREET
City HEMPSTEAD
State TX
ZIP 77445
Phone 979 826-3198
CertificateType 4
CertificateEffectiveDate 7/11/2022
CertificateExpirationDate 7/10/2024
FacilityType Waiver

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