45D1037551 CLIA NUMBER - FIRST ATLANTIC HOMECARE SERVICE CORP DBA FIRST ATLANTIC HEALTHCARE SYSTEM

Laboratory Demographics

  • CLIA Code: 45D1037551
  • Facility Name: FIRST ATLANTIC HOMECARE SERVICE CORP DBA FIRST ATLANTIC HEALTHCARE SYSTEM
  • Facility Address: 619 N 3RD STREET
    TEMPLE, TX
    ZIP 76501
  • Facility Phone: 254 773-6020
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROSELYNE N. NWABUKO
  • NPI Number: 1528107992
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D1037551
LAB Type Home Health Agency
Facility Name FIRST ATLANTIC HOMECARE SERVICE CORP DBA FIRST ATLANTIC HEALTHCARE SYSTEM
Street 619 N 3RD STREET
City TEMPLE
State TX
ZIP 76501
Phone 254 773-6020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Home Health Agency
Lab Director ROSELYNE N. NWABUKO

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