45D1038759 CLIA NUMBER - PROVIDENCE HOMECARE SERVICES, LLC DBA ELARA CARING

Laboratory Demographics

  • CLIA Code: 45D1038759
  • Facility Name: PROVIDENCE HOMECARE SERVICES, LLC DBA ELARA CARING
  • Facility Address: 200 RIVER POINTE DR SUITE 110A
    CONROE, TX
    ZIP 77304
  • Facility Phone: 936 539-9846
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: NICOLE WILLIFORD
  • NPI Number: 1487613071
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1038759
LAB Type Home Health Agency
Facility Name PROVIDENCE HOMECARE SERVICES, LLC DBA ELARA CARING
Street 200 RIVER POINTE DR SUITE 110A
City CONROE
State TX
ZIP 77304
Phone 936 539-9846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Home Health Agency
Lab Director NICOLE WILLIFORD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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