45D1048372 CLIA NUMBER - REVIVE HOME CARE, INC

Laboratory Demographics

  • CLIA Code: 45D1048372
  • Facility Name: REVIVE HOME CARE, INC
  • Facility Address: 1852 DALE DOUGLAS DR STE B
    EL PASO, TX
    ZIP 79936
  • Facility Phone: 915 772-1300
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARTHA L. HAPGOOD
  • NPI Number: 1487735346
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1048372
LAB Type Home Health Agency
Facility Name REVIVE HOME CARE, INC
Street 1852 DALE DOUGLAS DR STE B
City EL PASO
State TX
ZIP 79936
Phone 915 772-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Home Health Agency
Lab Director MARTHA L. HAPGOOD

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