45D1096473 CLIA NUMBER - PYRA MED HEALTH SERVICES LLC AVEANNA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 45D1096473
  • Facility Name: PYRA MED HEALTH SERVICES LLC AVEANNA HEALTHCARE
  • Facility Address: 2125 S 61ST STREET
    TEMPLE, TX
    ZIP 76504
  • Facility Phone: 254 314-8580
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MEGAN VICKNAIR
  • NPI Number: 1346480902
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1096473
LAB Type Home Health Agency
Facility Name PYRA MED HEALTH SERVICES LLC AVEANNA HEALTHCARE
Street 2125 S 61ST STREET
City TEMPLE
State TX
ZIP 76504
Phone 254 314-8580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Home Health Agency
Lab Director MEGAN VICKNAIR

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