45D2318792 CLIA NUMBER - A-G INCREDIBLE CARE LLC

Laboratory Demographics

  • CLIA Code: 45D2318792
  • Facility Name: A-G INCREDIBLE CARE LLC
  • Facility Address: 4422 CARMEL RIVER LN
    SPRING, TX
    ZIP 77388
  • Facility Phone: 346 351-7987
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AMOS BEAKOI
  • NPI Number: 1932925229
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2318792
LAB Type Home Health Agency
Facility Name A-G INCREDIBLE CARE LLC
Street 4422 CARMEL RIVER LN
City SPRING
State TX
ZIP 77388
Phone 346 351-7987
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Home Health Agency
Lab Director AMOS BEAKOI

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