45D0962251 CLIA NUMBER - PROMED HOME CARE

Laboratory Demographics

  • CLIA Code: 45D0962251
  • Facility Name: PROMED HOME CARE
  • Facility Address: 4615 SOUTHWEST FRWY SUITE #725
    HOUSTON, TX
    ZIP 77027
  • Facility Phone: 713 626-1644
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARY WUNDERLICH
  • NPI Number: 1639175193
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0962251
LAB Type Home Health Agency
Facility Name PROMED HOME CARE
Street 4615 SOUTHWEST FRWY SUITE #725
City HOUSTON
State TX
ZIP 77027
Phone 713 626-1644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Home Health Agency
Lab Director MARY WUNDERLICH

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