45D0981706 CLIA NUMBER - GOOD SAMARITAN HOME HEALTH AGENCY

Laboratory Demographics

  • CLIA Code: 45D0981706
  • Facility Name: GOOD SAMARITAN HOME HEALTH AGENCY
  • Facility Address: 2510 TEXAS DRIVE SUITE 100
    IRVING, TX
    ZIP 75062
  • Facility Phone: 972 594-0646
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: IFEANYI EHIOBU
  • NPI Number: 1891893194
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0981706
LAB Type Home Health Agency
Facility Name GOOD SAMARITAN HOME HEALTH AGENCY
Street 2510 TEXAS DRIVE SUITE 100
City IRVING
State TX
ZIP 75062
Phone 972 594-0646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Home Health Agency
Lab Director IFEANYI EHIOBU

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