45D2280593 CLIA NUMBER - DEVINITY HOME HEALTH & PALLIATIVE CARE, LLC

Laboratory Demographics

  • CLIA Code: 45D2280593
  • Facility Name: DEVINITY HOME HEALTH & PALLIATIVE CARE, LLC
  • Facility Address: 9102 ASPEN TRACE LN
    HUMBLE, TX
    ZIP 77338
  • Facility Phone: 281 570-4072
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GINA OLUBANWO OMISANDE
  • NPI Number: 1801518220
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2280593
LAB Type Home Health Agency
Facility Name DEVINITY HOME HEALTH & PALLIATIVE CARE, LLC
Street 9102 ASPEN TRACE LN
City HUMBLE
State TX
ZIP 77338
Phone 281 570-4072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Home Health Agency
Lab Director GINA OLUBANWO OMISANDE

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