45D0867974 CLIA NUMBER - JACKSON COUNTY HOME HEALTH

Laboratory Demographics

  • CLIA Code: 45D0867974
  • Facility Name: JACKSON COUNTY HOME HEALTH
  • Facility Address: 1008 N WELLS
    EDNA, TX
    ZIP 77957
  • Facility Phone: 361 782-7830
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TARA M. BREZINA
  • NPI Number: 1346283033
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0867974
LAB Type Home Health Agency
Facility Name JACKSON COUNTY HOME HEALTH
Street 1008 N WELLS
City EDNA
State TX
ZIP 77957
Phone 361 782-7830
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 TARA M. BREZINA

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