45D1084028 CLIA NUMBER - DIVINE EDGE HEALTH SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 45D1084028
  • Facility Name: DIVINE EDGE HEALTH SERVICES, LLC
  • Facility Address: 3008 E HEBRON PKWY SUITE 500
    CARROLLTON, TX
    ZIP 75010
  • Facility Phone: 214 493-3118
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: OLUYEMISI AKINODE
  • NPI Number: 1548436207
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1084028
LAB Type Home Health Agency
Facility Name DIVINE EDGE HEALTH SERVICES, LLC
Street 3008 E HEBRON PKWY SUITE 500
City CARROLLTON
State TX
ZIP 75010
Phone 214 493-3118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Home Health Agency
Lab Director OLUYEMISI AKINODE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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