45D1031733 CLIA NUMBER - IPH HOSPICE CARE INC

Laboratory Demographics

  • CLIA Code: 45D1031733
  • Facility Name: IPH HOSPICE CARE INC
  • Facility Address: 190 ABNER JACKSON PARKWAY STE 220
    LAKE JACKSON, TX
    ZIP 77566
  • Facility Phone: 979 848-8151
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: NANCY ROMAN
  • NPI Number: 1417937806
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D1031733
LAB Type Hospice
Facility Name IPH HOSPICE CARE INC
Street 190 ABNER JACKSON PARKWAY STE 220
City LAKE JACKSON
State TX
ZIP 77566
Phone 979 848-8151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Hospice
Lab Director NANCY ROMAN

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