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45D1001013 CLIA NUMBER - HEALTHSTAR MEDICAL SERVICE, INC

Laboratory Demographics

CLIA Number: 45D1001013

Facility Name: HEALTHSTAR MEDICAL SERVICE, INC

Facility Address:
1417 N COCKRELL HILL RD SUITE 106A
DALLAS, TX
ZIP 75211
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Facility Phone Number: 469 778-0124

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1992919443

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 45D1001013
LAB Type Home Health Agency
Facility Name HEALTHSTAR MEDICAL SERVICE, INC
Street 1417 N COCKRELL HILL RD SUITE 106A
City DALLAS
State TX
ZIP 75211
Phone 469 778-0124
CertificateType 4
CertificateEffectiveDate 4/16/2023
CertificateExpirationDate 4/15/2025
FacilityType Waiver

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