45D2194356 CLIA NUMBER - FORTRESS HOME CARE, LLC

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Laboratory Demographics

CLIA Number: 45D2194356

Facility Name: FORTRESS HOME CARE, LLC

Facility Address:
1010 SLIDE ROAD
LUBBOCK, TX
ZIP 79416
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Facility Phone Number: 806 281-4663

Facility Type: Other - HOME CARE AGENCY

Certificate Type: Waiver

NPI Number: 1376725796

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	45D2194356
LAB Type	Other - HOME CARE AGENCY
Facility Name	FORTRESS HOME CARE, LLC
Street	1010 SLIDE ROAD
City	LUBBOCK
State	TX
ZIP	79416
Phone	806 281-4663
CertificateType	4
CertificateEffectiveDate	9/30/2022
CertificateExpirationDate	9/29/2024
FacilityType	Waiver

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