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45D2050487 CLIA NUMBER - FIRST CHOICE CHILDREN'S HOMECARE DBA THRIVE SKILLED PEDIATRIC CARE

Laboratory Demographics

CLIA Number: 45D2050487

Facility Name: FIRST CHOICE CHILDREN'S HOMECARE DBA THRIVE SKILLED PEDIATRIC CARE

Facility Address:
1303 82ND STREET SUITE 800
LUBBOCK, TX
ZIP 79423
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Facility Phone Number: 806 687-3124

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1720342025

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 45D2050487
LAB Type Home Health Agency
Facility Name FIRST CHOICE CHILDREN'S HOMECARE DBA THRIVE SKILLED PEDIATRIC CARE
Street 1303 82ND STREET SUITE 800
City LUBBOCK
State TX
ZIP 79423
Phone 806 687-3124
CertificateType 4
CertificateEffectiveDate 11/30/2022
CertificateExpirationDate 11/29/2024
FacilityType Waiver

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