45D1054613 CLIA NUMBER - CORPUS CHRISTI HEALTHCARE AT HOME

Laboratory Demographics

  • CLIA Code: 45D1054613
  • Facility Name: CORPUS CHRISTI HEALTHCARE AT HOME
  • Facility Address: 3240 FORT WORTH ST, STE 113
    CORPUS CHRISTI, TX
    ZIP 78411
  • Facility Phone: 361 880-7912
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JESSICA ROWAN
  • NPI Number: 1124070065
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1054613
LAB Type Home Health Agency
Facility Name CORPUS CHRISTI HEALTHCARE AT HOME
Street 3240 FORT WORTH ST, STE 113
City CORPUS CHRISTI
State TX
ZIP 78411
Phone 361 880-7912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Home Health Agency
Lab Director JESSICA ROWAN

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