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45D1058749 CLIA NUMBER - CREDENCE HOME HEALTH SERVICES, INC

Laboratory Demographics

CLIA Number: 45D1058749

Facility Name: CREDENCE HOME HEALTH SERVICES, INC

Facility Address:
9319 LBJ FREEWAY SUITE 203
DALLAS, TX
ZIP 75243
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Facility Phone Number: 214 383-4792

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1093732729

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 45D1058749
LAB Type Home Health Agency
Facility Name CREDENCE HOME HEALTH SERVICES, INC
Street 9319 LBJ FREEWAY SUITE 203
City DALLAS
State TX
ZIP 75243
Phone 214 383-4792
CertificateType 4
CertificateEffectiveDate 9/14/2022
CertificateExpirationDate 9/13/2024
FacilityType Waiver

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