45D2052446 CLIA NUMBER - HERITAGE HOSPICE OF TEXARKANA, LLC

Laboratory Demographics

  • CLIA Code: 45D2052446
  • Facility Name: HERITAGE HOSPICE OF TEXARKANA, LLC
  • Facility Address: 4605 TEXAS BLVD
    TEXARKANA, TX
    ZIP 75503
  • Facility Phone: 903 792-0716
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: BLAKE RICH
  • NPI Number: 1720685548
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2052446
LAB Type Hospice
Facility Name HERITAGE HOSPICE OF TEXARKANA, LLC
Street 4605 TEXAS BLVD
City TEXARKANA
State TX
ZIP 75503
Phone 903 792-0716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Hospice
Lab Director BLAKE RICH

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