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45D1028983 CLIA NUMBER - RENEW HOME HEALTH

Laboratory Demographics

CLIA Number: 45D1028983

Facility Name: RENEW HOME HEALTH

Facility Address:
1021 WASHINGTON AVENUE
FORT WORTH, TX
ZIP 76104
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Facility Phone Number: (903) 463-6700

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver
NPI Number: 1740716646

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 45D1028983
LAB Type HOME HEALTH AGENCY
Facility Name RENEW HOME HEALTH
Street 1021 WASHINGTON AVENUE
City FORT WORTH
State TX
ZIP 76104
Phone (903) 463-6700

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This page was last updated on: 5/11/2023