45D1102185 CLIA NUMBER - ALTUS HOSPICE NORTH HOUSTON

Laboratory Demographics

CLIA Number: 45D1102185

Facility Name: ALTUS HOSPICE NORTH HOUSTON

Facility Address:
201 KINGWOOD MEDICAL DR STE B-500
KINGWOOD, TX
ZIP 77339
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Facility Phone Number: 281 583-5455

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1851697916

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D1102185
LAB Type	Hospice
Facility Name	ALTUS HOSPICE NORTH HOUSTON
Street	201 KINGWOOD MEDICAL DR STE B-500
City	KINGWOOD
State	TX
ZIP	77339
Phone	281 583-5455
CertificateType	4
CertificateEffectiveDate	7/14/2023
CertificateExpirationDate	7/13/2025
FacilityType	Waiver

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