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45D2008461 CLIA NUMBER - MED-CERT HOME HEALTH CARE, LLC

Laboratory Demographics

CLIA Number: 45D2008461

Facility Name: MED-CERT HOME HEALTH CARE, LLC

Facility Address:
6550 NAAMAN FOREST BLVD, STE 100
GARLAND, TX
ZIP 75044
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Facility Phone Number: 972 303-2424

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1083942056

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 45D2008461
LAB Type Home Health Agency
Facility Name MED-CERT HOME HEALTH CARE, LLC
Street 6550 NAAMAN FOREST BLVD, STE 100
City GARLAND
State TX
ZIP 75044
Phone 972 303-2424
CertificateType 4
CertificateEffectiveDate 6/10/2022
CertificateExpirationDate 6/9/2024
FacilityType Waiver

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