45D2043137 CLIA NUMBER - JOL HEALTHCARE

Laboratory Demographics

  • CLIA Code: 45D2043137
  • Facility Name: JOL HEALTHCARE
  • Facility Address: 3951 HWY 71, UNIT A
    BASTROP, TX
    ZIP 78602
  • Facility Phone: 512 786-4198
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARYBETH BRAUNE
  • NPI Number: 1083171573
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2043137
LAB Type Home Health Agency
Facility Name JOL HEALTHCARE
Street 3951 HWY 71, UNIT A
City BASTROP
State TX
ZIP 78602
Phone 512 786-4198
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Home Health Agency
Lab Director MARYBETH BRAUNE

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