45D2003647 CLIA NUMBER - COASTAL HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 45D2003647
  • Facility Name: COASTAL HOME HEALTH CARE
  • Facility Address: 5277 OLD BROWNSVILLE RD, SUITE 210
    CORPUS CHRISTI, TX
    ZIP 78405
  • Facility Phone: 361 758-5200
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AMBROSE HERNANDEZ
  • NPI Number: 1518297431
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2003647
LAB Type Home Health Agency
Facility Name COASTAL HOME HEALTH CARE
Street 5277 OLD BROWNSVILLE RD, SUITE 210
City CORPUS CHRISTI
State TX
ZIP 78405
Phone 361 758-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Home Health Agency
Lab Director AMBROSE HERNANDEZ

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