23D2327667 CLIA NUMBER - INTELICARE HOSPICE SERVICES II, LLC

Laboratory Demographics

  • CLIA Code: 23D2327667
  • Facility Name: INTELICARE HOSPICE SERVICES II, LLC
  • Facility Address: 604 W MAIN STREET SUITE A
    GAYLORD, MI
    ZIP 49735
  • Facility Phone: 214 534-0716
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AMAPURI DEGUIA
  • NPI Number: 1407308026
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D2327667
LAB Type Hospice
Facility Name INTELICARE HOSPICE SERVICES II, LLC
Street 604 W MAIN STREET SUITE A
City GAYLORD
State MI
ZIP 49735
Phone 214 534-0716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Hospice
Lab Director AMAPURI DEGUIA

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