45D1090484 CLIA NUMBER - AJ HOME HEALTH SERVICES, INC

Laboratory Demographics

  • CLIA Code: 45D1090484
  • Facility Name: AJ HOME HEALTH SERVICES, INC
  • Facility Address: 123 EXECUTIVE WAY SUITE 209
    DESOTO, TX
    ZIP 75115
  • Facility Phone: 214 217-0131
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANTHONIA DURU
  • NPI Number: 1659542967
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D1090484
LAB Type Home Health Agency
Facility Name AJ HOME HEALTH SERVICES, INC
Street 123 EXECUTIVE WAY SUITE 209
City DESOTO
State TX
ZIP 75115
Phone 214 217-0131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Home Health Agency
Lab Director ANTHONIA DURU

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