45D2113495 CLIA NUMBER - DYNAMIC HEALTHCARE INC

Laboratory Demographics

  • CLIA Code: 45D2113495
  • Facility Name: DYNAMIC HEALTHCARE INC
  • Facility Address: 4418 BLUEBONNET DR SUITE 209
    STAFFORD, TX
    ZIP 77477
  • Facility Phone: 832 886-4179
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CLEMENTINA AMAOGE WILLIAMSON
  • NPI Number: 1760827695
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2113495
LAB Type Home Health Agency
Facility Name DYNAMIC HEALTHCARE INC
Street 4418 BLUEBONNET DR SUITE 209
City STAFFORD
State TX
ZIP 77477
Phone 832 886-4179
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Home Health Agency
Lab Director CLEMENTINA AMAOGE WILLIAMSON

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