45D2315465 CLIA NUMBER - RENAVIV HOME HEALTH

Laboratory Demographics

  • CLIA Code: 45D2315465
  • Facility Name: RENAVIV HOME HEALTH
  • Facility Address: 12941 NORTH FREEWAY SUITE # 750-22
    HOUSTON, TX
    ZIP 77060
  • Facility Phone: 832 291-7226
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SERGIO BUESO
  • NPI Number: 1679394423
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2315465
LAB Type Home Health Agency
Facility Name RENAVIV HOME HEALTH
Street 12941 NORTH FREEWAY SUITE # 750-22
City HOUSTON
State TX
ZIP 77060
Phone 832 291-7226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Home Health Agency
Lab Director SERGIO BUESO

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