45D2090878 CLIA NUMBER - AMP, LLC DBA ENTURSTED PEDIATRIC HOME CARE

Laboratory Demographics

  • CLIA Code: 45D2090878
  • Facility Name: AMP, LLC DBA ENTURSTED PEDIATRIC HOME CARE
  • Facility Address: 275 W CAMPBELL RD
    RICHARDSON, TX
    ZIP 75080
  • Facility Phone: 512 532-4800
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DENISE PACE-BORAH
  • NPI Number: 1689062275
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2090878
LAB Type Home Health Agency
Facility Name AMP, LLC DBA ENTURSTED PEDIATRIC HOME CARE
Street 275 W CAMPBELL RD
City RICHARDSON
State TX
ZIP 75080
Phone 512 532-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Home Health Agency
Lab Director DENISE PACE-BORAH

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