45D2020000 CLIA NUMBER - BRIGHT STAR OF LAREDO

Laboratory Demographics

CLIA Number: 45D2020000

Facility Name: BRIGHT STAR OF LAREDO

Facility Address:
615 A GALE STREET ATTN VERONICA TAMEZ
LAREDO, TX
ZIP 78041
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Facility Phone Number: 956 791-4888

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1831407675

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 45D2020000
LAB Type Home Health Agency
Facility Name BRIGHT STAR OF LAREDO
Street 615 A GALE STREET ATTN VERONICA TAMEZ
City LAREDO
State TX
ZIP 78041
Phone 956 791-4888
CertificateType 4
CertificateEffectiveDate 2/10/2023
CertificateExpirationDate 2/9/2025
FacilityType Waiver

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