45D1017477 CLIA NUMBER - THC HOSPICE CARE ACQUISITION, LLC DBA TRADITIONS HOSPICE

Laboratory Demographics

  • CLIA Code: 45D1017477
  • Facility Name: THC HOSPICE CARE ACQUISITION, LLC DBA TRADITIONS HOSPICE
  • Facility Address: 1103 ROCK PRAIRIE ROAD, SUITE 2051B
    COLLEGE STATION, TX
    ZIP 77845
  • Facility Phone: 979 822-5511
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: D'NAE VIET
  • NPI Number: 1609861939
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D1017477
LAB Type Hospice
Facility Name THC HOSPICE CARE ACQUISITION, LLC DBA TRADITIONS HOSPICE
Street 1103 ROCK PRAIRIE ROAD, SUITE 2051B
City COLLEGE STATION
State TX
ZIP 77845
Phone 979 822-5511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Hospice
Lab Director D'NAE VIET

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