45D1061270 CLIA NUMBER - LIFEWAY HEALTHCARE INC

Laboratory Demographics

  • CLIA Code: 45D1061270
  • Facility Name: LIFEWAY HEALTHCARE INC
  • Facility Address: 10039 BISSONET ST SUITE 112
    HOUSTON, TX
    ZIP 77036
  • Facility Phone: 281 495-5100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AIROBOMAN OMOEGBELE
  • NPI Number: 1700960101
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1061270
LAB Type Home Health Agency
Facility Name LIFEWAY HEALTHCARE INC
Street 10039 BISSONET ST SUITE 112
City HOUSTON
State TX
ZIP 77036
Phone 281 495-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Home Health Agency
Lab Director AIROBOMAN OMOEGBELE

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