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45D2162283 CLIA NUMBER - ADVANCE ALLIANCE INC

Laboratory Demographics

CLIA Number: 45D2162283

Facility Name: ADVANCE ALLIANCE INC

Facility Address:
125 W WHEATLAND RD
DUNCANVILLE, TX
ZIP 75116
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Facility Phone Number: 972 780-5525

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1467467100

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 45D2162283
LAB Type Home Health Agency
Facility Name ADVANCE ALLIANCE INC
Street 125 W WHEATLAND RD
City DUNCANVILLE
State TX
ZIP 75116
Phone 972 780-5525
CertificateType 4
CertificateEffectiveDate 2/20/2023
CertificateExpirationDate 2/19/2025
FacilityType Waiver

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