45D1059562 CLIA NUMBER - SOUTHERN HOMECARE INC

Laboratory Demographics

  • CLIA Code: 45D1059562
  • Facility Name: SOUTHERN HOMECARE INC
  • Facility Address: 11500 PELLICANO DR UNIT B10
    EL PASO, TX
    ZIP 79936
  • Facility Phone: 915 857-8573
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARTHA A. SALCIDO
  • NPI Number: 1174625644
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1059562
LAB Type Home Health Agency
Facility Name SOUTHERN HOMECARE INC
Street 11500 PELLICANO DR UNIT B10
City EL PASO
State TX
ZIP 79936
Phone 915 857-8573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Home Health Agency
Lab Director MARTHA A. SALCIDO

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