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45D2185026 CLIA NUMBER - MUBARAK LLC

Laboratory Demographics

CLIA Number: 45D2185026

Facility Name: MUBARAK LLC

Facility Address:
8627 CRESCENT SPUR DRIVE
RICHMOND, TX
ZIP 77406
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Facility Phone Number: 713 505-7775

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1780212803

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 45D2185026
LAB Type Home Health Agency
Facility Name MUBARAK LLC
Street 8627 CRESCENT SPUR DRIVE
City RICHMOND
State TX
ZIP 77406
Phone 713 505-7775
CertificateType 4
CertificateEffectiveDate 5/28/2022
CertificateExpirationDate 5/27/2024
FacilityType Waiver

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