45D2001272 CLIA NUMBER - ENNIS TEXAS PHYSICIANS CHOICE HOMECARE,LLC

Laboratory Demographics

  • CLIA Code: 45D2001272
  • Facility Name: ENNIS TEXAS PHYSICIANS CHOICE HOMECARE,LLC
  • Facility Address: 200 E MAIN ST
    MESQUITE, TX
    ZIP 75149
  • Facility Phone: 972 686-7602
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DELAUNTE CRAWFORD
  • NPI Number: 1619204468
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2001272
LAB Type Home Health Agency
Facility Name ENNIS TEXAS PHYSICIANS CHOICE HOMECARE,LLC
Street 200 E MAIN ST
City MESQUITE
State TX
ZIP 75149
Phone 972 686-7602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Home Health Agency
Lab Director DELAUNTE CRAWFORD

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