45D2052813 CLIA NUMBER - MEDICAL CITY HOSPICE & FAMILY CARE

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Laboratory Demographics

CLIA Number: 45D2052813

Facility Name: MEDICAL CITY HOSPICE & FAMILY CARE

Facility Address:
4025 WOODLAND PARK BLVD SUITE 190
ARLINGTON, TX
ZIP 76013
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Facility Phone Number: 615 344-4783

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1891049995

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2052813
LAB Type	Hospice
Facility Name	MEDICAL CITY HOSPICE & FAMILY CARE
Street	4025 WOODLAND PARK BLVD SUITE 190
City	ARLINGTON
State	TX
ZIP	76013
Phone	615 344-4783
CertificateType	4
CertificateEffectiveDate	1/18/2023
CertificateExpirationDate	1/17/2025
FacilityType	Waiver

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