45D2005772 CLIA NUMBER - TRIANGLE CARE HOSPICE LP

Laboratory Demographics

  • CLIA Code: 45D2005772
  • Facility Name: TRIANGLE CARE HOSPICE LP
  • Facility Address: 85 IH 10 NORTH, SUITE 208
    BEAUMONT, TX
    ZIP 77707
  • Facility Phone: 409 842-1112
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARTHA J. LICATINO
  • NPI Number: 1225371826
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2005772
LAB Type Hospice
Facility Name TRIANGLE CARE HOSPICE LP
Street 85 IH 10 NORTH, SUITE 208
City BEAUMONT
State TX
ZIP 77707
Phone 409 842-1112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Hospice
Lab Director MARTHA J. LICATINO

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