45D1016480 CLIA NUMBER - FOUNTAIN CARE, INC DBA FOUNTAIN HOME HEALTH

Laboratory Demographics

  • CLIA Code: 45D1016480
  • Facility Name: FOUNTAIN CARE, INC DBA FOUNTAIN HOME HEALTH
  • Facility Address: 9127 MAGNOLIA VIEW
    HOUSTON, TX
    ZIP 77099
  • Facility Phone: 281 575-9505
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MUTIAT O. LAWAL, RN
  • NPI Number: 1558310284
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1016480
LAB Type Home Health Agency
Facility Name FOUNTAIN CARE, INC DBA FOUNTAIN HOME HEALTH
Street 9127 MAGNOLIA VIEW
City HOUSTON
State TX
ZIP 77099
Phone 281 575-9505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Home Health Agency
Lab Director MUTIAT O. LAWAL, RN

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