45D2003190 CLIA NUMBER - ICON COMMUNITY HEALTH SERVICES,LLC

Laboratory Demographics

  • CLIA Code: 45D2003190
  • Facility Name: ICON COMMUNITY HEALTH SERVICES,LLC
  • Facility Address: 2370 S DAIRY ASHFORD RD
    HOUSTON, TX
    ZIP 77077
  • Facility Phone: 713 436-8400
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROBIN GEORGE
  • NPI Number: 1962640482
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2003190
LAB Type Home Health Agency
Facility Name ICON COMMUNITY HEALTH SERVICES,LLC
Street 2370 S DAIRY ASHFORD RD
City HOUSTON
State TX
ZIP 77077
Phone 713 436-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Home Health Agency
Lab Director ROBIN GEORGE

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