45D2052832 CLIA NUMBER - TRINITY HOSPICE OF TEXAS, LLC DBA GENTIVA

Laboratory Demographics

  • CLIA Code: 45D2052832
  • Facility Name: TRINITY HOSPICE OF TEXAS, LLC DBA GENTIVA
  • Facility Address: 100 E HUBBARD ST STE 101
    MINERAL WELLS, TX
    ZIP 76067
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE Y. BEASLEY
  • NPI Number: 1831158203
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2052832
LAB Type Hospice
Facility Name TRINITY HOSPICE OF TEXAS, LLC DBA GENTIVA
Street 100 E HUBBARD ST STE 101
City MINERAL WELLS
State TX
ZIP 76067
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Hospice
Lab Director SELECE Y. BEASLEY

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This page was last updated on: 3/20/2025