45D2270625 CLIA NUMBER - RADIANCE HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 45D2270625
  • Facility Name: RADIANCE HOME CARE LLC
  • Facility Address: 4758 HARBOR SHAM ST
    ROSHARON, TX
    ZIP 77583
  • Facility Phone: (914) 987-8636
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AKUNNAYA KALUNTA
  • NPI Number: 1629707807
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2270625
LAB Type Home Health Agency
Facility Name RADIANCE HOME CARE LLC
Street 4758 HARBOR SHAM ST
City ROSHARON
State TX
ZIP 77583
Phone 9149878636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Home Health Agency
Lab Director AKUNNAYA KALUNTA

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This page was last updated on: 5/18/2026