04D1028945 CLIA NUMBER - LEGACY HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 04D1028945
  • Facility Name: LEGACY HOSPICE, LLC
  • Facility Address: 906 WEST KEISER AVE
    OSCEOLA, AR
    ZIP 72370
  • Facility Phone: 870 563-9995
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KATIE N. SANDERS
  • NPI Number: 1033238241
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 04D1028945
LAB Type Hospice
Facility Name LEGACY HOSPICE, LLC
Street 906 WEST KEISER AVE
City OSCEOLA
State AR
ZIP 72370
Phone 870 563-9995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Hospice
Lab Director KATIE N. SANDERS

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