45D2168437 CLIA NUMBER - JT4 SENIOR CARE, LLC DBA HOME INSTEAD

Laboratory Demographics

  • CLIA Code: 45D2168437
  • Facility Name: JT4 SENIOR CARE, LLC DBA HOME INSTEAD
  • Facility Address: 702 S DENTON TAP RD STE 120
    COPPELL, TX
    ZIP 75019
  • Facility Phone: 972 243-6100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TEMI CHARRIER
  • NPI Number: 1144718347
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 45D2168437
LAB Type Home Health Agency
Facility Name JT4 SENIOR CARE, LLC DBA HOME INSTEAD
Street 702 S DENTON TAP RD STE 120
City COPPELL
State TX
ZIP 75019
Phone 972 243-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Home Health Agency
Lab Director TEMI CHARRIER

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