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45D2000309 CLIA NUMBER - CANAAN HOME HEALTHCARE AGENCY,LLC

Laboratory Demographics

CLIA Number: 45D2000309

Facility Name: CANAAN HOME HEALTHCARE AGENCY,LLC

Facility Address:
9550 SKILLMAN STREET, SUITE 107
DALLAS, TX
ZIP 75243
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Facility Phone Number: 214 253-2244

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1578899001

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 45D2000309
LAB Type Home Health Agency
Facility Name CANAAN HOME HEALTHCARE AGENCY,LLC
Street 9550 SKILLMAN STREET, SUITE 107
City DALLAS
State TX
ZIP 75243
Phone 214 253-2244
CertificateType 4
CertificateEffectiveDate 11/25/2023
CertificateExpirationDate 11/24/2025
FacilityType Waiver

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