45D2282882 CLIA NUMBER - INTERIM HEALTHCARE HOUSTON SOUTHEAST

Laboratory Demographics

  • CLIA Code: 45D2282882
  • Facility Name: INTERIM HEALTHCARE HOUSTON SOUTHEAST
  • Facility Address: 11550 FUQUA STREET SUITE 360
    HOUSTON, TX
    ZIP 77034
  • Facility Phone: 832 404-2006
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DAWN M. BLOOMER
  • NPI Number: 1609332543
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2282882
LAB Type Home Health Agency
Facility Name INTERIM HEALTHCARE HOUSTON SOUTHEAST
Street 11550 FUQUA STREET SUITE 360
City HOUSTON
State TX
ZIP 77034
Phone 832 404-2006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Home Health Agency
Lab Director DAWN M. BLOOMER

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