45D0684440 CLIA NUMBER - HOSPICE OF WICHITA FALLS INC

Laboratory Demographics

CLIA Number: 45D0684440

Facility Name: HOSPICE OF WICHITA FALLS INC

Facility Address:
4909 JOHNSON RD
WICHITA FALLS, TX
ZIP 76310
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Facility Phone Number: 940 691-0982

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1770583254

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D0684440
LAB Type	Hospice
Facility Name	HOSPICE OF WICHITA FALLS INC
Street	4909 JOHNSON RD
City	WICHITA FALLS
State	TX
ZIP	76310
Phone	940 691-0982
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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