45D2003743 CLIA NUMBER - ANGELS OF CARE HOME HEALTH, INC

Laboratory Demographics

  • CLIA Code: 45D2003743
  • Facility Name: ANGELS OF CARE HOME HEALTH, INC
  • Facility Address: 330 MUNICIPAL DR SUITE 104C
    RICHARDSON, TX
    ZIP 75080
  • Facility Phone: 214 484-1362
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RENJI M. PHILIPOSE
  • NPI Number: 1033446760
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2003743
LAB Type Home Health Agency
Facility Name ANGELS OF CARE HOME HEALTH, INC
Street 330 MUNICIPAL DR SUITE 104C
City RICHARDSON
State TX
ZIP 75080
Phone 214 484-1362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Home Health Agency
Lab Director RENJI M. PHILIPOSE

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