45D0995358 CLIA NUMBER - ONE SOURCE HOME CARE, INC

Laboratory Demographics

  • CLIA Code: 45D0995358
  • Facility Name: ONE SOURCE HOME CARE, INC
  • Facility Address: 4002 TECHNOLOGY CENTER
    LONGVIEW, TX
    ZIP 75605
  • Facility Phone: 903 927-1186
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOHN D. FORD
  • NPI Number: 1104147339
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0995358
LAB Type Home Health Agency
Facility Name ONE SOURCE HOME CARE, INC
Street 4002 TECHNOLOGY CENTER
City LONGVIEW
State TX
ZIP 75605
Phone 903 927-1186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Home Health Agency
Lab Director JOHN D. FORD

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