45D1103274 CLIA NUMBER - ODYSSEY PRIMARY HOMECARE INC

Laboratory Demographics

  • CLIA Code: 45D1103274
  • Facility Name: ODYSSEY PRIMARY HOMECARE INC
  • Facility Address: 3224 SOUTH SUGAR ROAD, SUITE L
    EDINBURG, TX
    ZIP 78539
  • Facility Phone: 956 664-9909
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DALIA MOLINA
  • NPI Number: 1508026683
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1103274
LAB Type Home Health Agency
Facility Name ODYSSEY PRIMARY HOMECARE INC
Street 3224 SOUTH SUGAR ROAD, SUITE L
City EDINBURG
State TX
ZIP 78539
Phone 956 664-9909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Home Health Agency
Lab Director DALIA MOLINA

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