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45D1040367 CLIA NUMBER - PRIMEWAY HEALTHCARE SERVICES, INC

Laboratory Demographics

CLIA Number: 45D1040367

Facility Name: PRIMEWAY HEALTHCARE SERVICES, INC

Facility Address:
9894 BISSONNET ST STE 750
HOUSTON, TX
ZIP 77036
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Facility Phone Number: 713 808-9870

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1811153513

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 45D1040367
LAB Type Home Health Agency
Facility Name PRIMEWAY HEALTHCARE SERVICES, INC
Street 9894 BISSONNET ST STE 750
City HOUSTON
State TX
ZIP 77036
Phone 713 808-9870
CertificateType 4
CertificateEffectiveDate 1/24/2023
CertificateExpirationDate 1/23/2025
FacilityType Waiver

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