45D1038659 CLIA NUMBER - INNOVATIVE HEALTH SERVICES INC

Laboratory Demographics

  • CLIA Code: 45D1038659
  • Facility Name: INNOVATIVE HEALTH SERVICES INC
  • Facility Address: 203 S MAIN ST
    ANAHUAC, TX
    ZIP 77514
  • Facility Phone: 409 267-6194
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: NEDRANA BOUTTE, MD
  • NPI Number: 1366536187
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1038659
LAB Type Home Health Agency
Facility Name INNOVATIVE HEALTH SERVICES INC
Street 203 S MAIN ST
City ANAHUAC
State TX
ZIP 77514
Phone 409 267-6194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Home Health Agency
Lab Director NEDRANA BOUTTE, MD

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