45D1024712 CLIA NUMBER - FDN ENTERPRISED UC PROGRESSIVE HOME HEALTH AGENCY

Laboratory Demographics

  • CLIA Code: 45D1024712
  • Facility Name: FDN ENTERPRISED UC PROGRESSIVE HOME HEALTH AGENCY
  • Facility Address: 1760 FM 967 SUITE B
    BUDA, TX
    ZIP 78610
  • Facility Phone: 512 312-5222
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MERCY E. NKANSAH
  • NPI Number: 1053525006
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1024712
LAB Type Home Health Agency
Facility Name FDN ENTERPRISED UC PROGRESSIVE HOME HEALTH AGENCY
Street 1760 FM 967 SUITE B
City BUDA
State TX
ZIP 78610
Phone 512 312-5222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Home Health Agency
Lab Director MERCY E. NKANSAH

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