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45D0993253 CLIA NUMBER - FAMILY CARE MEDICAL CENTER PA

Laboratory Demographics

CLIA Number: 45D0993253

Facility Name: FAMILY CARE MEDICAL CENTER PA

Facility Address:
1205 N JOSEY LANE
CARROLLTON, TX
ZIP 75006
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Facility Phone Number: 972 242-2726

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1669703591

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 45D0993253
LAB Type Physician Office
Facility Name FAMILY CARE MEDICAL CENTER PA
Street 1205 N JOSEY LANE
City CARROLLTON
State TX
ZIP 75006
Phone 972 242-2726
CertificateType 4
CertificateEffectiveDate 11/8/2023
CertificateExpirationDate 11/7/2025
FacilityType Waiver

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