45D1064877 CLIA NUMBER - HEART TO HEART HOSPICE OF THE GULF COAST, LLC

Laboratory Demographics

CLIA Number: 45D1064877

Facility Name: HEART TO HEART HOSPICE OF THE GULF COAST, LLC

Facility Address:
550 FANNIN STREET, SUITE 1200
BEAUMONT, TX
ZIP 77701
Get Directions

Facility Phone Number: 409 813-1028

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1356690028

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D1064877
LAB Type	Hospice
Facility Name	HEART TO HEART HOSPICE OF THE GULF COAST, LLC
Street	550 FANNIN STREET, SUITE 1200
City	BEAUMONT
State	TX
ZIP	77701
Phone	409 813-1028
CertificateType	4
CertificateEffectiveDate	2/15/2023
CertificateExpirationDate	2/14/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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