45D0998160 CLIA NUMBER - EXCEPTIONAL HOME CARE INC

Laboratory Demographics

  • CLIA Code: 45D0998160
  • Facility Name: EXCEPTIONAL HOME CARE INC
  • Facility Address: 2817 STARK STREET SUITE A
    FORT WORTH, TX
    ZIP 76112
  • Facility Phone: 817 457-8324
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHELLEY REED-POUNCY
  • NPI Number: 1588686521
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0998160
LAB Type Home Health Agency
Facility Name EXCEPTIONAL HOME CARE INC
Street 2817 STARK STREET SUITE A
City FORT WORTH
State TX
ZIP 76112
Phone 817 457-8324
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Home Health Agency
Lab Director SHELLEY REED-POUNCY

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