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

Laboratory Demographics

  • CLIA Code: 45D2008461
  • Facility Name: MED-CERT HOME HEALTH CARE, LLC
  • Facility Address: 1919 S SHILOH RD SUITE 660
    GARLAND, TX
    ZIP 75042
  • Facility Phone: 972 303-2424
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SUSAN MATHEW
  • NPI Number: 1083942056
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2008461
LAB Type Home Health Agency
Facility Name MED-CERT HOME HEALTH CARE, LLC
Street 1919 S SHILOH RD SUITE 660
City GARLAND
State TX
ZIP 75042
Phone 972 303-2424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Home Health Agency
Lab Director SUSAN MATHEW

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