45D0930162 CLIA NUMBER - ULTIMATE PEDIATRIC CARE, INC DBA DYNAMIC HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 45D0930162
  • Facility Name: ULTIMATE PEDIATRIC CARE, INC DBA DYNAMIC HOME HEALTH SERVICES
  • Facility Address: 1001 SOUTH DAIRY ASHFORD ROAD, SUITE # 320
    HOUSTON, TX
    ZIP 77077
  • Facility Phone: 713 271-9010
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MERCY NIMS-THOMAS
  • NPI Number: 1932201514
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0930162
LAB Type Home Health Agency
Facility Name ULTIMATE PEDIATRIC CARE, INC DBA DYNAMIC HOME HEALTH SERVICES
Street 1001 SOUTH DAIRY ASHFORD ROAD, SUITE # 320
City HOUSTON
State TX
ZIP 77077
Phone 713 271-9010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Home Health Agency
Lab Director MERCY NIMS-THOMAS

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