45D2082144 CLIA NUMBER - FREEDOM AT HOME DIALYSIS HOME HEALTH AGENCY

Laboratory Demographics

  • CLIA Code: 45D2082144
  • Facility Name: FREEDOM AT HOME DIALYSIS HOME HEALTH AGENCY
  • Facility Address: 4893 E FM 552
    FATE, TX
    ZIP 75087
  • Facility Phone: 972 772-2565
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ETHEL LEANO
  • NPI Number: 1699112862
  • Taxonomy: 251J00000X - Nursing Care

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2082144
LAB Type Home Health Agency
Facility Name FREEDOM AT HOME DIALYSIS HOME HEALTH AGENCY
Street 4893 E FM 552
City FATE
State TX
ZIP 75087
Phone 972 772-2565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Home Health Agency
Lab Director ETHEL LEANO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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