45D2060049 CLIA NUMBER - LIVING WATERS HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 45D2060049
  • Facility Name: LIVING WATERS HOSPICE, INC
  • Facility Address: 23315 JOHNSON ROAD
    NEW CANEY, TX
    ZIP 77357
  • Facility Phone: 832 723-0420
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LESHEQUA GASPER
  • NPI Number: 1730425760
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2060049
LAB Type Hospice
Facility Name LIVING WATERS HOSPICE, INC
Street 23315 JOHNSON ROAD
City NEW CANEY
State TX
ZIP 77357
Phone 832 723-0420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Hospice
Lab Director LESHEQUA GASPER

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This page was last updated on: 6/4/2025