45D2254536 CLIA NUMBER - DAISY SHAW COMPANION CARE, LLC

Laboratory Demographics

  • CLIA Code: 45D2254536
  • Facility Name: DAISY SHAW COMPANION CARE, LLC
  • Facility Address: 8347 CAMP BOWIE WEST BLVD
    FORT WORTH, TX
    ZIP 76116
  • Facility Phone: 817 879-9283
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHAMEEKA S. HENRY
  • NPI Number: 1427627199
  • Taxonomy: 3747P1801X - Technician

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CLIA Record

Field Name Field Value
CLIA Number 45D2254536
LAB Type Home Health Agency
Facility Name DAISY SHAW COMPANION CARE, LLC
Street 8347 CAMP BOWIE WEST BLVD
City FORT WORTH
State TX
ZIP 76116
Phone 817 879-9283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Home Health Agency
Lab Director SHAMEEKA S. HENRY

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