45D2206173 CLIA NUMBER - MOMENTUS HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 45D2206173
  • Facility Name: MOMENTUS HEALTH SERVICES
  • Facility Address: 1341 W MOCKINGBIRD LN SUITE 214W
    DALLAS, TX
    ZIP 75247
  • Facility Phone: (469) 613-5300
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHANTAL TORRAIN
  • NPI Number: 1821585324
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2206173
LAB Type Home Health Agency
Facility Name MOMENTUS HEALTH SERVICES
Street 1341 W MOCKINGBIRD LN SUITE 214W
City DALLAS
State TX
ZIP 75247
Phone 4696135300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Home Health Agency
Lab Director CHANTAL TORRAIN

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This page was last updated on: 6/29/2026