45D2002062 CLIA NUMBER - PROMED HOME HEALTHCARE, LLC

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Laboratory Demographics

CLIA Number: 45D2002062

Facility Name: PROMED HOME HEALTHCARE, LLC

Facility Address:
12660 COIT RD SUITE 200
DALLAS, TX
ZIP 75251
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Facility Phone Number: (972) 602-0028

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1013060060

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	45D2002062
LAB Type	HOME HEALTH AGENCY
Facility Name	PROMED HOME HEALTHCARE, LLC
Street	12660 COIT RD SUITE 200
City	DALLAS
State	TX
ZIP	75251
Phone	(972) 602-0028

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This page was last updated on: 5/11/2023