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45D0983847 CLIA NUMBER - ADVANCE HOSPICE CARE OF AMERICA INC

Laboratory Demographics

CLIA Number: 45D0983847

Facility Name: ADVANCE HOSPICE CARE OF AMERICA INC

Facility Address:
1177 ROCKINGHAM DRIVE SUITE 200
RICHARDSON, TX
ZIP 75080
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Facility Phone Number: 972 818-9488

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1215969829

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 45D0983847
LAB Type Hospice
Facility Name ADVANCE HOSPICE CARE OF AMERICA INC
Street 1177 ROCKINGHAM DRIVE SUITE 200
City RICHARDSON
State TX
ZIP 75080
Phone 972 818-9488
CertificateType 4
CertificateEffectiveDate 3/7/2023
CertificateExpirationDate 3/6/2025
FacilityType Waiver

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