45D2036927 CLIA NUMBER - SUPREME HOSPICE DBA LOVING HOPE HOSPICE

Laboratory Demographics

  • CLIA Code: 45D2036927
  • Facility Name: SUPREME HOSPICE DBA LOVING HOPE HOSPICE
  • Facility Address: 350 WESTPARK WAY SUITE 220
    EULESS, TX
    ZIP 76040
  • Facility Phone: 877 832-1144
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LAURA TEWKSBURY
  • NPI Number: 1427327675
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2036927
LAB Type Hospice
Facility Name SUPREME HOSPICE DBA LOVING HOPE HOSPICE
Street 350 WESTPARK WAY SUITE 220
City EULESS
State TX
ZIP 76040
Phone 877 832-1144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Hospice
Lab Director LAURA TEWKSBURY

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