45D1099136 CLIA NUMBER - AGAPE HOME CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 45D1099136
  • Facility Name: AGAPE HOME CARE SERVICES LLC
  • Facility Address: 1502 S JOHN REDDITT DR
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 866 344-2821
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CASEY A. WILSON
  • NPI Number: 1043450125
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1099136
LAB Type Home Health Agency
Facility Name AGAPE HOME CARE SERVICES LLC
Street 1502 S JOHN REDDITT DR
City LUFKIN
State TX
ZIP 75904
Phone 866 344-2821
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Home Health Agency
Lab Director CASEY A. WILSON

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