45D1102536 CLIA NUMBER - KEYSTONE HEALTHCARE INC

Laboratory Demographics

  • CLIA Code: 45D1102536
  • Facility Name: KEYSTONE HEALTHCARE INC
  • Facility Address: 777 S CENTRAL EXPWY, STE I-H
    RICHARDSON, TX
    ZIP 75080
  • Facility Phone: 972 262-9501
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DICKSON ALAO
  • NPI Number: 1699919084
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1102536
LAB Type Home Health Agency
Facility Name KEYSTONE HEALTHCARE INC
Street 777 S CENTRAL EXPWY, STE I-H
City RICHARDSON
State TX
ZIP 75080
Phone 972 262-9501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Home Health Agency
Lab Director DICKSON ALAO

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