45D1069712 CLIA NUMBER - AZZA HOME HEALTHCARE AGENCY

Laboratory Demographics

  • CLIA Code: 45D1069712
  • Facility Name: AZZA HOME HEALTHCARE AGENCY
  • Facility Address: 6501 NICOLE WAY
    ARLINGTON, TX
    ZIP 76002
  • Facility Phone: 817 467-2910
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BIBIAN MUKORO
  • NPI Number: 1174690143
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1069712
LAB Type Home Health Agency
Facility Name AZZA HOME HEALTHCARE AGENCY
Street 6501 NICOLE WAY
City ARLINGTON
State TX
ZIP 76002
Phone 817 467-2910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Home Health Agency
Lab Director BIBIAN MUKORO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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