45D1050488 CLIA NUMBER - EPIC HEALTH SERVICES, INC DBA AVEANNA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 45D1050488
  • Facility Name: EPIC HEALTH SERVICES, INC DBA AVEANNA HEALTHCARE
  • Facility Address: 1200 SUMMIAT AVE STE 880
    FORT WORTH, TX
    ZIP 76102
  • Facility Phone: 817 698-9500
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CALISHA DURHAM
  • NPI Number: 1336389717
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1050488
LAB Type Home Health Agency
Facility Name EPIC HEALTH SERVICES, INC DBA AVEANNA HEALTHCARE
Street 1200 SUMMIAT AVE STE 880
City FORT WORTH
State TX
ZIP 76102
Phone 817 698-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Home Health Agency
Lab Director CALISHA DURHAM

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