45D1067049 CLIA NUMBER - EXCELACARE HOME HEALTH DYNAMIX ADULT DAY CARE SERVICES

Laboratory Demographics

  • CLIA Code: 45D1067049
  • Facility Name: EXCELACARE HOME HEALTH DYNAMIX ADULT DAY CARE SERVICES
  • Facility Address: 1250 E COPELAND RD STE 200
    ARLINGTON, TX
    ZIP 76011
  • Facility Phone: 888 462-4003
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AMY WACASEY
  • NPI Number: 1568009900
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1067049
LAB Type Home Health Agency
Facility Name EXCELACARE HOME HEALTH DYNAMIX ADULT DAY CARE SERVICES
Street 1250 E COPELAND RD STE 200
City ARLINGTON
State TX
ZIP 76011
Phone 888 462-4003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Home Health Agency
Lab Director AMY WACASEY

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This page was last updated on: 6/4/2025