45D2016063 CLIA NUMBER - CBL MEDICAL ENTERPRISES INC DBA ADVANTAGE PLUS HOMECARE

Laboratory Demographics

  • CLIA Code: 45D2016063
  • Facility Name: CBL MEDICAL ENTERPRISES INC DBA ADVANTAGE PLUS HOMECARE
  • Facility Address: 2719 WESTWARD DR
    NACOGDOCHES, TX
    ZIP 75964
  • Facility Phone: 409 383-4013
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LORI REYNOLDS
  • NPI Number: 1811205370
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2016063
LAB Type Home Health Agency
Facility Name CBL MEDICAL ENTERPRISES INC DBA ADVANTAGE PLUS HOMECARE
Street 2719 WESTWARD DR
City NACOGDOCHES
State TX
ZIP 75964
Phone 409 383-4013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Home Health Agency
Lab Director LORI REYNOLDS

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