45D0683419 CLIA NUMBER - PERMIAN REGIONAL MEDICAL CENTER HOME HEALTH

Laboratory Demographics

  • CLIA Code: 45D0683419
  • Facility Name: PERMIAN REGIONAL MEDICAL CENTER HOME HEALTH
  • Facility Address: 720 HOSPITAL DRIVE
    ANDREWS, TX
    ZIP 79714
  • Facility Phone: 432 524-3637
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MILA PALENTINOS
  • NPI Number: 1447286315
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0683419
LAB Type Home Health Agency
Facility Name PERMIAN REGIONAL MEDICAL CENTER HOME HEALTH
Street 720 HOSPITAL DRIVE
City ANDREWS
State TX
ZIP 79714
Phone 432 524-3637
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director MILA PALENTINOS

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