45D1063217 CLIA NUMBER - SIXTEEN LAC INC

Laboratory Demographics

CLIA Number: 45D1063217

Facility Name: SIXTEEN LAC INC

Facility Address:
4600 OCEAN DRIVE #405
CORPUS CHRISTI, TX
ZIP 78412
Get Directions

Facility Phone Number: 361 241-2244

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1073545869

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	45D1063217
LAB Type	Home Health Agency
Facility Name	SIXTEEN LAC INC
Street	4600 OCEAN DRIVE #405
City	CORPUS CHRISTI
State	TX
ZIP	78412
Phone	361 241-2244
CertificateType	4
CertificateEffectiveDate	1/9/2023
CertificateExpirationDate	1/8/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024