04D0957049 CLIA NUMBER - HOSPICE OF HOPE

Laboratory Demographics

CLIA Number: 04D0957049

Facility Name: HOSPICE OF HOPE

Facility Address:
501 EAST 6TH STREET
TEXARKANA, AR
ZIP 71854
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Facility Phone Number: 870 216-0046

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1548268683

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	04D0957049
LAB Type	Hospice
Facility Name	HOSPICE OF HOPE
Street	501 EAST 6TH STREET
City	TEXARKANA
State	AR
ZIP	71854
Phone	870 216-0046
CertificateType	4
CertificateEffectiveDate	2/10/2023
CertificateExpirationDate	2/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024