45D2155874 CLIA NUMBER - TEXAS HOME HEALTH GROUP OF DESOTO, LLC

Laboratory Demographics

CLIA Number: 45D2155874

Facility Name: TEXAS HOME HEALTH GROUP OF DESOTO, LLC

Facility Address:
911 YORK DR SUITE 203-A
DESOTO, TX
ZIP 75115
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Facility Phone Number: 214 307-7300

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1215187620

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name Field Value
CLIA Number 45D2155874
LAB Type Home Health Agency
Facility Name TEXAS HOME HEALTH GROUP OF DESOTO, LLC
Street 911 YORK DR SUITE 203-A
City DESOTO
State TX
ZIP 75115
Phone 214 307-7300
CertificateType 4
CertificateEffectiveDate 10/5/2022
CertificateExpirationDate 10/4/2024
FacilityType Waiver

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