45D2325645 CLIA NUMBER - NOELLE & PHILIPS HOME HEALTHCARE LLC

Laboratory Demographics

CLIA Code: 45D2325645
Facility Name: NOELLE & PHILIPS HOME HEALTHCARE LLC
Facility Address: 1217 VERHEYDEN DR
DESOTO, TX
ZIP 75115
Facility Phone: 682 218-9747
Facility Type: Home Health Agency
Facility Type: Waiver
Lab Director: MAYOKUN SOYEBO
NPI Number: 1104656750
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	45D2325645
LAB Type	Home Health Agency
Facility Name	NOELLE & PHILIPS HOME HEALTHCARE LLC
Street	1217 VERHEYDEN DR
City	DESOTO
State	TX
ZIP	75115
Phone	682 218-9747
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	6/17/2025
Certificate Expiration Date	6/16/2027
Facility Type	Home Health Agency
Lab Director	MAYOKUN SOYEBO

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