45D2011144 CLIA NUMBER - SENIOR PREFERRED HOMECARE LLC

Laboratory Demographics

  • CLIA Code: 45D2011144
  • Facility Name: SENIOR PREFERRED HOMECARE LLC
  • Facility Address: 223 W ANDERSON LN, SUITE A115
    AUSTIN, TX
    ZIP 78752
  • Facility Phone: 512 800-8911
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RYAN W. KIM
  • NPI Number: 1114248705
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2011144
LAB Type Home Health Agency
Facility Name SENIOR PREFERRED HOMECARE LLC
Street 223 W ANDERSON LN, SUITE A115
City AUSTIN
State TX
ZIP 78752
Phone 512 800-8911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Home Health Agency
Lab Director RYAN W. KIM

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