45D2076959 CLIA NUMBER - TEXAN HOSPICE PROVIDER LLC

Laboratory Demographics

  • CLIA Code: 45D2076959
  • Facility Name: TEXAN HOSPICE PROVIDER LLC
  • Facility Address: 2410 LUNA RD SUITE 280
    CARROLLTON, TX
    ZIP 75006
  • Facility Phone: 972 243-3033
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JENNIFER WELCH
  • NPI Number: 1497196810
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2076959
LAB Type Hospice
Facility Name TEXAN HOSPICE PROVIDER LLC
Street 2410 LUNA RD SUITE 280
City CARROLLTON
State TX
ZIP 75006
Phone 972 243-3033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Hospice
Lab Director JENNIFER WELCH

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