45D2234368 CLIA NUMBER - HOLISTAT, LLC

Laboratory Demographics

  • CLIA Code: 45D2234368
  • Facility Name: HOLISTAT, LLC
  • Facility Address: 3610 W PIONEER PKWY SUITE 101
    PANTEGO, TX
    ZIP 76013
  • Facility Phone: 682 288-8336
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GINA CALEAP
  • NPI Number: 1134705254
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2234368
LAB Type Home Health Agency
Facility Name HOLISTAT, LLC
Street 3610 W PIONEER PKWY SUITE 101
City PANTEGO
State TX
ZIP 76013
Phone 682 288-8336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Home Health Agency
Lab Director GINA CALEAP

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