45D2018273 CLIA NUMBER - LEGEND HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 45D2018273
  • Facility Name: LEGEND HOSPICE, INC
  • Facility Address: 4200 S HULEN ST STE 304
    FORT WORTH, TX
    ZIP 76109
  • Facility Phone: 214 324-4565
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: GEORGE THOMAS
  • NPI Number: 1164724993
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2018273
LAB Type Hospice
Facility Name LEGEND HOSPICE, INC
Street 4200 S HULEN ST STE 304
City FORT WORTH
State TX
ZIP 76109
Phone 214 324-4565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Hospice
Lab Director GEORGE THOMAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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