45D2031205 CLIA NUMBER - PINECREST HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 45D2031205
  • Facility Name: PINECREST HOME HEALTH SERVICES
  • Facility Address: 1302 TOM TEMPLE DR STE A
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 936 633-1115
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANGEL G. BRANCH
  • NPI Number: 1598714941
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2031205
LAB Type Home Health Agency
Facility Name PINECREST HOME HEALTH SERVICES
Street 1302 TOM TEMPLE DR STE A
City LUFKIN
State TX
ZIP 75904
Phone 936 633-1115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Home Health Agency
Lab Director ANGEL G. BRANCH

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