45D1098615 CLIA NUMBER - BROOKS HOME CARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 45D1098615
  • Facility Name: BROOKS HOME CARE SERVICES, INC
  • Facility Address: 9304 FOREST LN SUITE N 165A
    DALLAS, TX
    ZIP 75243
  • Facility Phone: 214 774-9463
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LILLIAN ODIACHI
  • NPI Number: 1568634962
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1098615
LAB Type Home Health Agency
Facility Name BROOKS HOME CARE SERVICES, INC
Street 9304 FOREST LN SUITE N 165A
City DALLAS
State TX
ZIP 75243
Phone 214 774-9463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Home Health Agency
Lab Director LILLIAN ODIACHI

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This page was last updated on: 6/4/2025