45D2005786 CLIA NUMBER - RUBY HOME HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 45D2005786
  • Facility Name: RUBY HOME HEALTHCARE LLC
  • Facility Address: 2021 PRESTIGE COVE CT
    WYLIE, TX
    ZIP 75098
  • Facility Phone: 972 332-1565
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PRAVINKUMAR PARADAVA
  • NPI Number: 1730402876
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2005786
LAB Type Home Health Agency
Facility Name RUBY HOME HEALTHCARE LLC
Street 2021 PRESTIGE COVE CT
City WYLIE
State TX
ZIP 75098
Phone 972 332-1565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Home Health Agency
Lab Director PRAVINKUMAR PARADAVA

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