45D2318341 CLIA NUMBER - MIDSOUTH HOMECARE, PLLC

Laboratory Demographics

  • CLIA Code: 45D2318341
  • Facility Name: MIDSOUTH HOMECARE, PLLC
  • Facility Address: 5904 SUMMERFIELD DR
    TEXARKANA, TX
    ZIP 75503
  • Facility Phone: 430 278-0005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMANDA ROGERS
  • NPI Number: 1295325611
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2318341
LAB Type Physician Office
Facility Name MIDSOUTH HOMECARE, PLLC
Street 5904 SUMMERFIELD DR
City TEXARKANA
State TX
ZIP 75503
Phone 430 278-0005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director AMANDA ROGERS

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