45D2066567 CLIA NUMBER - DEVINITY HOSPICE

Laboratory Demographics

  • CLIA Code: 45D2066567
  • Facility Name: DEVINITY HOSPICE
  • Facility Address: 9102 ASPEN TRACE LANE
    HUMBLE, TX
    ZIP 77338
  • Facility Phone: 281 570-4072
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: OLUBANWO OMISANDE
  • NPI Number: 1366780934
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2066567
LAB Type Hospice
Facility Name DEVINITY HOSPICE
Street 9102 ASPEN TRACE LANE
City HUMBLE
State TX
ZIP 77338
Phone 281 570-4072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Hospice
Lab Director OLUBANWO OMISANDE

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