45D0969407 CLIA NUMBER - HOSPICE HOLDINGS DFW, LLC DBA AMEDISYS HOSPICE

Laboratory Demographics

  • CLIA Code: 45D0969407
  • Facility Name: HOSPICE HOLDINGS DFW, LLC DBA AMEDISYS HOSPICE
  • Facility Address: 6300 RIDGLEA PLACE SUITE 810
    FORT WORTH, TX
    ZIP 76116
  • Facility Phone: 817 570-7190
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DANIELLE CIMBA
  • NPI Number: 1255738928
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D0969407
LAB Type Hospice
Facility Name HOSPICE HOLDINGS DFW, LLC DBA AMEDISYS HOSPICE
Street 6300 RIDGLEA PLACE SUITE 810
City FORT WORTH
State TX
ZIP 76116
Phone 817 570-7190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Hospice
Lab Director DANIELLE CIMBA

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