45D1056736 CLIA NUMBER - IMPARTING KNOWLEDGE HOME HEALTH, INC

Laboratory Demographics

  • CLIA Code: 45D1056736
  • Facility Name: IMPARTING KNOWLEDGE HOME HEALTH, INC
  • Facility Address: 1255 W 15TH STREET STE 900
    PLANO, TX
    ZIP 75075
  • Facility Phone: 972 664-0945
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HALEY RANNEY
  • NPI Number: 1396760054
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1056736
LAB Type Home Health Agency
Facility Name IMPARTING KNOWLEDGE HOME HEALTH, INC
Street 1255 W 15TH STREET STE 900
City PLANO
State TX
ZIP 75075
Phone 972 664-0945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Home Health Agency
Lab Director HALEY RANNEY

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