45D2010882 CLIA NUMBER - HEALING SOURCE HOME CARE, INC

Laboratory Demographics

  • CLIA Code: 45D2010882
  • Facility Name: HEALING SOURCE HOME CARE, INC
  • Facility Address: 12783 CAPRICORN DRIVE, SUITE 500
    STAFFORD, TX
    ZIP 77477
  • Facility Phone: 281 242-4325
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: REYNALD R. TAPIA
  • NPI Number: 1376874081
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2010882
LAB Type Home Health Agency
Facility Name HEALING SOURCE HOME CARE, INC
Street 12783 CAPRICORN DRIVE, SUITE 500
City STAFFORD
State TX
ZIP 77477
Phone 281 242-4325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Home Health Agency
Lab Director REYNALD R. TAPIA

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