45D2063473 CLIA NUMBER - GOODWILL HEALTHCARE SERVICES INC

Laboratory Demographics

CLIA Number: 45D2063473

Facility Name: GOODWILL HEALTHCARE SERVICES INC

Facility Address:
21906 RUSTIC CANYON LN
RICHMOND, TX
ZIP 77469
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Facility Phone Number: 281 762-1675

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1184979122

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 45D2063473
LAB Type Home Health Agency
Facility Name GOODWILL HEALTHCARE SERVICES INC
Street 21906 RUSTIC CANYON LN
City RICHMOND
State TX
ZIP 77469
Phone 281 762-1675
CertificateType 4
CertificateEffectiveDate 8/2/2023
CertificateExpirationDate 8/1/2025
FacilityType Waiver

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