45D1075578 CLIA NUMBER - HOME CARE SELECT

Laboratory Demographics

  • CLIA Code: 45D1075578
  • Facility Name: HOME CARE SELECT
  • Facility Address: 3500 W DAVIS ST SUITE # 150B
    CONROE, TX
    ZIP 77304
  • Facility Phone: 936 756-5800
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PENNY DORNBUSH-COBURN
  • NPI Number: 1407048465
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1075578
LAB Type Home Health Agency
Facility Name HOME CARE SELECT
Street 3500 W DAVIS ST SUITE # 150B
City CONROE
State TX
ZIP 77304
Phone 936 756-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Home Health Agency
Lab Director PENNY DORNBUSH-COBURN

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