45D1051575 CLIA NUMBER - MEDICAL CITY HEALTHCARE AT HOME

Laboratory Demographics

  • CLIA Code: 45D1051575
  • Facility Name: MEDICAL CITY HEALTHCARE AT HOME
  • Facility Address: 1255 CORPORATE DR SUITE 150
    IRVING, TX
    ZIP 75038
  • Facility Phone: 817 916-2101
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: STEPHANIE HASSAN
  • NPI Number: 1639180235
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1051575
LAB Type Home Health Agency
Facility Name MEDICAL CITY HEALTHCARE AT HOME
Street 1255 CORPORATE DR SUITE 150
City IRVING
State TX
ZIP 75038
Phone 817 916-2101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Home Health Agency
Lab Director STEPHANIE HASSAN

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