45D2024012 CLIA NUMBER - ENVOY HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2024012
  • Facility Name: ENVOY HOSPICE, LLC
  • Facility Address: 1307 8TH AVENUE SUITE 410
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 289-3990
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KELLY A. KIMBLE
  • NPI Number: 1922397280
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2024012
LAB Type Hospice
Facility Name ENVOY HOSPICE, LLC
Street 1307 8TH AVENUE SUITE 410
City FORT WORTH
State TX
ZIP 76104
Phone 817 289-3990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Hospice
Lab Director KELLY A. KIMBLE

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