45D1015104 CLIA NUMBER - DESTINY CARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 45D1015104
  • Facility Name: DESTINY CARE SERVICES, INC
  • Facility Address: 8515 FONDREN ST
    HOUSTON, TX
    ZIP 77074
  • Facility Phone: 713 785-4800
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CALLISTA DAVIS
  • NPI Number: 1033103510
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1015104
LAB Type Home Health Agency
Facility Name DESTINY CARE SERVICES, INC
Street 8515 FONDREN ST
City HOUSTON
State TX
ZIP 77074
Phone 713 785-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Home Health Agency
Lab Director CALLISTA DAVIS

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