45D0934565 CLIA NUMBER - GULF COAST COMMUNITY HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 45D0934565
  • Facility Name: GULF COAST COMMUNITY HEALTH SERVICES
  • Facility Address: 17223 MERCURY DRIVE
    HOUSTON, TX
    ZIP 77058
  • Facility Phone: 281 484-2727
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KINGSLEY E. AGBOR
  • NPI Number: 1609823822
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D0934565
LAB Type Home Health Agency
Facility Name GULF COAST COMMUNITY HEALTH SERVICES
Street 17223 MERCURY DRIVE
City HOUSTON
State TX
ZIP 77058
Phone 281 484-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Home Health Agency
Lab Director KINGSLEY E. AGBOR

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