45D2024112 CLIA NUMBER - NOURISH HOMEHEALTH AND THERAPY SERVICES

Laboratory Demographics

  • CLIA Code: 45D2024112
  • Facility Name: NOURISH HOMEHEALTH AND THERAPY SERVICES
  • Facility Address: 1930 E ROSEMEADE PKWY SUITE 204B
    CARROLLTON, TX
    ZIP 75007
  • Facility Phone: (972) 734-5900
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SABU MATHEW
  • NPI Number: 1497059554
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2024112
LAB Type Home Health Agency
Facility Name NOURISH HOMEHEALTH AND THERAPY SERVICES
Street 1930 E ROSEMEADE PKWY SUITE 204B
City CARROLLTON
State TX
ZIP 75007
Phone 9727345900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Home Health Agency
Lab Director SABU MATHEW

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This page was last updated on: 5/18/2026