45D2244239 CLIA NUMBER - TRINITY HEALTHCARE OF WEST TEXAS, INC.

Laboratory Demographics

CLIA Number: 45D2244239

Facility Name: TRINITY HEALTHCARE OF WEST TEXAS, INC.

Facility Address:
4700 EAST UNIVERSITY BLVD. STE B
ODESSA, TX
ZIP 79762
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Facility Phone Number: 432 557-8110

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1518426899

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	45D2244239
LAB Type	Home Health Agency
Facility Name	TRINITY HEALTHCARE OF WEST TEXAS, INC.
Street	4700 EAST UNIVERSITY BLVD. STE B
City	ODESSA
State	TX
ZIP	79762
Phone	432 557-8110
CertificateType	4
CertificateEffectiveDate	11/30/2023
CertificateExpirationDate	11/29/2025
FacilityType	Waiver

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