45D2025644 CLIA NUMBER - ANTHEM HEALTHCARE, INC

Laboratory Demographics

  • CLIA Code: 45D2025644
  • Facility Name: ANTHEM HEALTHCARE, INC
  • Facility Address: 1615 S VETERANS BLVD
    EAGLE PASS, TX
    ZIP 78852
  • Facility Phone: 210 893-2468
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHARLES ROY
  • NPI Number: 1386973360
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2025644
LAB Type Home Health Agency
Facility Name ANTHEM HEALTHCARE, INC
Street 1615 S VETERANS BLVD
City EAGLE PASS
State TX
ZIP 78852
Phone 210 893-2468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Home Health Agency
Lab Director CHARLES ROY

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