45D0921455 CLIA NUMBER - CHAMPION CARE INCORPORATED

Laboratory Demographics

  • CLIA Code: 45D0921455
  • Facility Name: CHAMPION CARE INCORPORATED
  • Facility Address: 1419 MARKET STREET
    LAREDO, TX
    ZIP 78040
  • Facility Phone: 956 712-2156
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: YOLINDA B. TREVINO
  • NPI Number: 1447283270
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0921455
LAB Type Home Health Agency
Facility Name CHAMPION CARE INCORPORATED
Street 1419 MARKET STREET
City LAREDO
State TX
ZIP 78040
Phone 956 712-2156
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Home Health Agency
Lab Director YOLINDA B. TREVINO

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