45D1082626 CLIA NUMBER - KOREAN HOME HEALTH CARE,INC

Laboratory Demographics

CLIA Number: 45D1082626

Facility Name: KOREAN HOME HEALTH CARE,INC

Facility Address:
1908 ROYAL LANE #100
DALLAS, TX
ZIP 75229
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Facility Phone Number: 972 241-9996

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1205013257

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 45D1082626
LAB Type Home Health Agency
Facility Name KOREAN HOME HEALTH CARE,INC
Street 1908 ROYAL LANE #100
City DALLAS
State TX
ZIP 75229
Phone 972 241-9996
CertificateType 4
CertificateEffectiveDate 4/15/2024
CertificateExpirationDate 4/14/2026
FacilityType Waiver

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