45D2001208 CLIA NUMBER - DELTACARE HOSPICE, LLC DBA ICON HOSPICE

Laboratory Demographics

  • CLIA Code: 45D2001208
  • Facility Name: DELTACARE HOSPICE, LLC DBA ICON HOSPICE
  • Facility Address: 3132 W MILLER RD SUITE B
    GARLAND, TX
    ZIP 75041
  • Facility Phone: 214 473-4790
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CHARITY LIMBRICK
  • NPI Number: 1023346343
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2001208
LAB Type Hospice
Facility Name DELTACARE HOSPICE, LLC DBA ICON HOSPICE
Street 3132 W MILLER RD SUITE B
City GARLAND
State TX
ZIP 75041
Phone 214 473-4790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Hospice
Lab Director CHARITY LIMBRICK

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