45D2016061 CLIA NUMBER - RADIANT CARE HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2016061
  • Facility Name: RADIANT CARE HOSPICE, LLC
  • Facility Address: 7137 COLLEYVILLE BLVD SUITE 102
    COLLEYVILLE, TX
    ZIP 76034
  • Facility Phone: 817 421-4400
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VIVIAN V. POBLETE
  • NPI Number: 1508174699
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2016061
LAB Type Hospice
Facility Name RADIANT CARE HOSPICE, LLC
Street 7137 COLLEYVILLE BLVD SUITE 102
City COLLEYVILLE
State TX
ZIP 76034
Phone 817 421-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Hospice
Lab Director VIVIAN V. POBLETE

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This page was last updated on: 6/4/2025