45D2241561 CLIA NUMBER - RENAISSANCE CASE MANAGEMENT SERVICES

Laboratory Demographics

  • CLIA Code: 45D2241561
  • Facility Name: RENAISSANCE CASE MANAGEMENT SERVICES
  • Facility Address: 4141 SOUTHWEST FWY SUITE 510
    HOUSTON, TX
    ZIP 77027
  • Facility Phone: 713 528-2097
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MICHAEL GRAVES
  • NPI Number: 1891933073
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 45D2241561
LAB Type Home Health Agency
Facility Name RENAISSANCE CASE MANAGEMENT SERVICES
Street 4141 SOUTHWEST FWY SUITE 510
City HOUSTON
State TX
ZIP 77027
Phone 713 528-2097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Home Health Agency
Lab Director MICHAEL GRAVES

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