45D1033756 CLIA NUMBER - VITAL CARE HOME HEALTH AGENCY GALENO INC

Laboratory Demographics

  • CLIA Code: 45D1033756
  • Facility Name: VITAL CARE HOME HEALTH AGENCY GALENO INC
  • Facility Address: 11204 MONTWOOD
    EL PASO, TX
    ZIP 79936
  • Facility Phone: 915 595-4804
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANA L. SOTO
  • NPI Number: 1164420980
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1033756
LAB Type Home Health Agency
Facility Name VITAL CARE HOME HEALTH AGENCY GALENO INC
Street 11204 MONTWOOD
City EL PASO
State TX
ZIP 79936
Phone 915 595-4804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Home Health Agency
Lab Director ANA L. SOTO

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