45D2152894 CLIA NUMBER - HOMECARE SUPPORT GROUP, INC

Laboratory Demographics

  • CLIA Code: 45D2152894
  • Facility Name: HOMECARE SUPPORT GROUP, INC
  • Facility Address: 12770 CIMARRON PATH, SUITE 134B
    SAN ANTONIO, TX
    ZIP 78231
  • Facility Phone: 210 324-1162
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PAMELA BALES
  • NPI Number: 1457542037
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2152894
LAB Type Home Health Agency
Facility Name HOMECARE SUPPORT GROUP, INC
Street 12770 CIMARRON PATH, SUITE 134B
City SAN ANTONIO
State TX
ZIP 78231
Phone 210 324-1162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Home Health Agency
Lab Director PAMELA BALES

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