45D1038932 CLIA NUMBER - CARTER HEALTHCARE OF SAN ANGELO LLC

Laboratory Demographics

CLIA Number: 45D1038932

Facility Name: CARTER HEALTHCARE OF SAN ANGELO LLC

Facility Address:
2725 SHERWOOD WAY #700
SAN ANGELO, TX
ZIP 76901
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Facility Phone Number: 325 944-8181

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1386601417

Taxonomy: 163WH0200X - Registered Nurse

CLIA Record

Field Name	Field Value
CLIA Number	45D1038932
LAB Type	Home Health Agency
Facility Name	CARTER HEALTHCARE OF SAN ANGELO LLC
Street	2725 SHERWOOD WAY #700
City	SAN ANGELO
State	TX
ZIP	76901
Phone	325 944-8181
CertificateType	4
CertificateEffectiveDate	3/30/2023
CertificateExpirationDate	3/29/2025
FacilityType	Waiver

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