45D2042674 CLIA NUMBER - AKG HOSPICE CARE LLC DBA TRINITY HOSPICE

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Laboratory Demographics

CLIA Number: 45D2042674

Facility Name: AKG HOSPICE CARE LLC DBA TRINITY HOSPICE

Facility Address:
310 E INTERSTATE HIGHWAY 30 STE 300
GARLAND, TX
ZIP 75043
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Facility Phone Number: 469 726-4402

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1750650917

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2042674
LAB Type	Hospice
Facility Name	AKG HOSPICE CARE LLC DBA TRINITY HOSPICE
Street	310 E INTERSTATE HIGHWAY 30 STE 300
City	GARLAND
State	TX
ZIP	75043
Phone	469 726-4402
CertificateType	4
CertificateEffectiveDate	6/18/2022
CertificateExpirationDate	6/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024