45D2326074 CLIA NUMBER - PHOENIX BAY, LTD. DBA COMPASSION HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 45D2326074
  • Facility Name: PHOENIX BAY, LTD. DBA COMPASSION HOME HEALTH CARE
  • Facility Address: 10207 INDIANA AVENUE
    LUBBOCK, TX
    ZIP 79423
  • Facility Phone: 806 403-1140
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JAIMSI A. MELTON
  • NPI Number: 1437980448
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2326074
LAB Type Home Health Agency
Facility Name PHOENIX BAY, LTD. DBA COMPASSION HOME HEALTH CARE
Street 10207 INDIANA AVENUE
City LUBBOCK
State TX
ZIP 79423
Phone 806 403-1140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Home Health Agency
Lab Director JAIMSI A. MELTON

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