45D1054638 CLIA NUMBER - ST DAVID'S HEALTHCARE AT HOME

Laboratory Demographics

  • CLIA Code: 45D1054638
  • Facility Name: ST DAVID'S HEALTHCARE AT HOME
  • Facility Address: 3636 EXECUTIVE CENTER DR,BLD 8,STE 216
    AUSTIN, TX
    ZIP 78731
  • Facility Phone: 512 372-1595
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHRISTINA HALEY
  • NPI Number: 1780636431
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1054638
LAB Type Home Health Agency
Facility Name ST DAVID'S HEALTHCARE AT HOME
Street 3636 EXECUTIVE CENTER DR,BLD 8,STE 216
City AUSTIN
State TX
ZIP 78731
Phone 512 372-1595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Home Health Agency
Lab Director CHRISTINA HALEY

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