45D1076111 CLIA NUMBER - WKM HEALTHCARE INC

Laboratory Demographics

CLIA Number: 45D1076111

Facility Name: WKM HEALTHCARE INC

Facility Address:
100 N CENTRAL EXPY SUITE 190 ROOM 114
RICHARDSON, TX
ZIP 75080
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Facility Phone Number: 972 240-8600

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1023213667

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	45D1076111
LAB Type	Home Health Agency
Facility Name	WKM HEALTHCARE INC
Street	100 N CENTRAL EXPY SUITE 190 ROOM 114
City	RICHARDSON
State	TX
ZIP	75080
Phone	972 240-8600
CertificateType	4
CertificateEffectiveDate	11/6/2023
CertificateExpirationDate	11/5/2025
FacilityType	Waiver

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