45D1071479 CLIA NUMBER - EAST TEXAS PHC, LLC PREMIER HOME CARE

Laboratory Demographics

  • CLIA Code: 45D1071479
  • Facility Name: EAST TEXAS PHC, LLC PREMIER HOME CARE
  • Facility Address: 602 EAST WHALEY
    LONGVIEW, TX
    ZIP 75601
  • Facility Phone: 903 753-2273
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: REBECCA A. HARDIN
  • NPI Number: 1215152251
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D1071479
LAB Type Home Health Agency
Facility Name EAST TEXAS PHC, LLC PREMIER HOME CARE
Street 602 EAST WHALEY
City LONGVIEW
State TX
ZIP 75601
Phone 903 753-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2023
Certificate Expiration Date 7/25/2025
Facility Type Home Health Agency
Lab Director REBECCA A. HARDIN

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This page was last updated on: 6/4/2025