45D1099408 CLIA NUMBER - J-SHALOM HOME HEALTH SERVICES, INC

Laboratory Demographics

  • CLIA Code: 45D1099408
  • Facility Name: J-SHALOM HOME HEALTH SERVICES, INC
  • Facility Address: 1416 JUNCTION RUN
    MESQUITE, TX
    ZIP 75181
  • Facility Phone: 972 423-4145
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: OKUNBOR ALFRED-IYAMU
  • NPI Number: 1669615068
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1099408
LAB Type Home Health Agency
Facility Name J-SHALOM HOME HEALTH SERVICES, INC
Street 1416 JUNCTION RUN
City MESQUITE
State TX
ZIP 75181
Phone 972 423-4145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Home Health Agency
Lab Director OKUNBOR ALFRED-IYAMU

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: 6/4/2025