04D1063818 CLIA NUMBER - LIFE TOUCH HOSPICE HOUSE SHARE FOUNDATION

Laboratory Demographics

  • CLIA Code: 04D1063818
  • Facility Name: LIFE TOUCH HOSPICE HOUSE SHARE FOUNDATION
  • Facility Address: 403 WEST OAK STREET, SUITE 201
    EL DORADO, AR
    ZIP 71730
  • Facility Phone: 870 862-0337
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARTI HOGUE
  • NPI Number: 1174522841
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 04D1063818
LAB Type Hospice
Facility Name LIFE TOUCH HOSPICE HOUSE SHARE FOUNDATION
Street 403 WEST OAK STREET, SUITE 201
City EL DORADO
State AR
ZIP 71730
Phone 870 862-0337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Hospice
Lab Director MARTI HOGUE

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