45D0900669 CLIA NUMBER - IPH HOME HEALTH CARE SERVICES, INC DBA IPH HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 45D0900669
  • Facility Name: IPH HOME HEALTH CARE SERVICES, INC DBA IPH HOME HEALTH CARE
  • Facility Address: 190 ABNER JACKSON PARKWAY STE 210
    LAKE JACKSON, TX
    ZIP 77566
  • Facility Phone: 979 848-8151
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. RAJ DALAL
  • NPI Number: 1679553069
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0900669
LAB Type Home Health Agency
Facility Name IPH HOME HEALTH CARE SERVICES, INC DBA IPH HOME HEALTH CARE
Street 190 ABNER JACKSON PARKWAY STE 210
City LAKE JACKSON
State TX
ZIP 77566
Phone 979 848-8151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Home Health Agency
Lab Director DR. RAJ DALAL

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