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45D1097941 CLIA NUMBER - ALPHA TRENDS, INC DBA GOODWILL HEALTHCARE SERVICES

Laboratory Demographics

CLIA Number: 45D1097941

Facility Name: ALPHA TRENDS, INC DBA GOODWILL HEALTHCARE SERVICES

Facility Address:
9535 FOREST LANE STE 200
DALLAS, TX
ZIP 75243
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Facility Phone Number: 214 631-9900

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1629244215

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 45D1097941
LAB Type Home Health Agency
Facility Name ALPHA TRENDS, INC DBA GOODWILL HEALTHCARE SERVICES
Street 9535 FOREST LANE STE 200
City DALLAS
State TX
ZIP 75243
Phone 214 631-9900
CertificateType 4
CertificateEffectiveDate 4/7/2023
CertificateExpirationDate 4/6/2025
FacilityType Waiver

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