45D1070814 CLIA NUMBER - ROPHEKA HOMEHEALTH AGENCY INC

Laboratory Demographics

CLIA Number: 45D1070814

Facility Name: ROPHEKA HOMEHEALTH AGENCY INC

Facility Address:
360 PLACE 1201 N WATSON ROAD, SUITE 297
ARLINGTON, TX
ZIP 76006
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Facility Phone Number: 817 466-9751

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1730426032

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D1070814
LAB Type	Home Health Agency
Facility Name	ROPHEKA HOMEHEALTH AGENCY INC
Street	360 PLACE 1201 N WATSON ROAD, SUITE 297
City	ARLINGTON
State	TX
ZIP	76006
Phone	817 466-9751
CertificateType	4
CertificateEffectiveDate	7/10/2023
CertificateExpirationDate	7/9/2025
FacilityType	Waiver

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