45D2277279 CLIA NUMBER - SDQ HEALTHCARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 45D2277279
  • Facility Name: SDQ HEALTHCARE SERVICES LLC
  • Facility Address: 1022 E GRIFFIN PARKWAY STE 103B WEST
    MISSION, TX
    ZIP 78572
  • Facility Phone: 956 890-0492
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ERICA VILLALOBOS
  • NPI Number: 1174230536
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2277279
LAB Type Home Health Agency
Facility Name SDQ HEALTHCARE SERVICES LLC
Street 1022 E GRIFFIN PARKWAY STE 103B WEST
City MISSION
State TX
ZIP 78572
Phone 956 890-0492
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Home Health Agency
Lab Director ERICA VILLALOBOS

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