45D1095369 CLIA NUMBER - PREMIER HEALTH CARE SERVICES II

Laboratory Demographics

  • CLIA Code: 45D1095369
  • Facility Name: PREMIER HEALTH CARE SERVICES II
  • Facility Address: 815 TRAILWOOD DRIVE SUITE 120
    HURST, TX
    ZIP 76053
  • Facility Phone: 817 285-8175
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PATRICIA HENDERSON
  • NPI Number: 1871786186
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1095369
LAB Type Home Health Agency
Facility Name PREMIER HEALTH CARE SERVICES II
Street 815 TRAILWOOD DRIVE SUITE 120
City HURST
State TX
ZIP 76053
Phone 817 285-8175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Home Health Agency
Lab Director PATRICIA HENDERSON

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