45D2113764 CLIA NUMBER - ASCENTIA HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 45D2113764
  • Facility Name: ASCENTIA HEALTHCARE LLC
  • Facility Address: 24707 MALCA MANOR DR
    KATY, TX
    ZIP 77493
  • Facility Phone: 281 786-4880
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: IRETI JONES
  • NPI Number: 1750844098
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 45D2113764
LAB Type Home Health Agency
Facility Name ASCENTIA HEALTHCARE LLC
Street 24707 MALCA MANOR DR
City KATY
State TX
ZIP 77493
Phone 281 786-4880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Home Health Agency
Lab Director IRETI JONES

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