45D1081596 CLIA NUMBER - ANGEL CARE HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D1081596
  • Facility Name: ANGEL CARE HOSPICE LLC
  • Facility Address: 702 FAIR PARK DRIVE SUITE 102
    HENDERSON, TX
    ZIP 75654
  • Facility Phone: 903 657-2461
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AMANDA SEBASTIAN
  • NPI Number: 1326219874
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D1081596
LAB Type Hospice
Facility Name ANGEL CARE HOSPICE LLC
Street 702 FAIR PARK DRIVE SUITE 102
City HENDERSON
State TX
ZIP 75654
Phone 903 657-2461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Hospice
Lab Director AMANDA SEBASTIAN

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