45D2174043 CLIA NUMBER - KINGFISHER HEALTH LLC DBA HALCYON HOME

Laboratory Demographics

  • CLIA Code: 45D2174043
  • Facility Name: KINGFISHER HEALTH LLC DBA HALCYON HOME
  • Facility Address: 125 MCCARTY LANE
    SAN MARCOS, TX
    ZIP 78666
  • Facility Phone: 512 815-9009
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SWEET AMY
  • NPI Number: 1609427046
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2174043
LAB Type Home Health Agency
Facility Name KINGFISHER HEALTH LLC DBA HALCYON HOME
Street 125 MCCARTY LANE
City SAN MARCOS
State TX
ZIP 78666
Phone 512 815-9009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Home Health Agency
Lab Director SWEET AMY

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