45D0927540 CLIA NUMBER - PORT HOMECARE SERVICES INC

Laboratory Demographics

  • CLIA Code: 45D0927540
  • Facility Name: PORT HOMECARE SERVICES INC
  • Facility Address: 5525 S STAPLES ST STE A7
    CORPUS CHRISTI, TX
    ZIP 78411
  • Facility Phone: 361 854-2273
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOHNNY RYALS
  • NPI Number: 1285637900
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0927540
LAB Type Home Health Agency
Facility Name PORT HOMECARE SERVICES INC
Street 5525 S STAPLES ST STE A7
City CORPUS CHRISTI
State TX
ZIP 78411
Phone 361 854-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Home Health Agency
Lab Director JOHNNY RYALS

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