45D1054932 CLIA NUMBER - EXTRACARE HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 45D1054932
  • Facility Name: EXTRACARE HOME HEALTH SERVICES
  • Facility Address: 3724 FM 1960 WEST, SUITE 201
    HOUSTON, TX
    ZIP 77068
  • Facility Phone: 832 484-8203
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JACQUELINE N. CALANGIAN
  • NPI Number: 1609805696
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1054932
LAB Type Home Health Agency
Facility Name EXTRACARE HOME HEALTH SERVICES
Street 3724 FM 1960 WEST, SUITE 201
City HOUSTON
State TX
ZIP 77068
Phone 832 484-8203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Home Health Agency
Lab Director JACQUELINE N. CALANGIAN

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