45D1090489 CLIA NUMBER - HALLMARK HEALTHCARE, LLC

Laboratory Demographics

  • CLIA Code: 45D1090489
  • Facility Name: HALLMARK HEALTHCARE, LLC
  • Facility Address: 2307 CENTRAL DRIVE SUITE B-2
    BEDFORD, TX
    ZIP 76021
  • Facility Phone: 817 553-1900
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: EMMANUEL ETUOKWU
  • NPI Number: 1669635652
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1090489
LAB Type Home Health Agency
Facility Name HALLMARK HEALTHCARE, LLC
Street 2307 CENTRAL DRIVE SUITE B-2
City BEDFORD
State TX
ZIP 76021
Phone 817 553-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Home Health Agency
Lab Director EMMANUEL ETUOKWU

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