45D1081901 CLIA NUMBER - HERITAGE HEALTH & HOSPICE CARE, LLC DBA GENTIVA

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Laboratory Demographics

CLIA Number: 45D1081901

Facility Name: HERITAGE HEALTH & HOSPICE CARE, LLC DBA GENTIVA

Facility Address:
6800 W LOOP SOUTH, STE 200
BELLAIRE, TX
ZIP 77401
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Facility Phone Number: 704 664-2876

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1447381470

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D1081901
LAB Type	Hospice
Facility Name	HERITAGE HEALTH & HOSPICE CARE, LLC DBA GENTIVA
Street	6800 W LOOP SOUTH, STE 200
City	BELLAIRE
State	TX
ZIP	77401
Phone	704 664-2876
CertificateType	4
CertificateEffectiveDate	3/27/2024
CertificateExpirationDate	3/26/2026
FacilityType	Waiver

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