45D2080667 CLIA NUMBER - GREEN HILLS HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D2080667
  • Facility Name: GREEN HILLS HOSPICE LLC
  • Facility Address: 4893 E FM 552
    FATE, TX
    ZIP 75087
  • Facility Phone: 972 913-4165
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: NIEVA L. CUA
  • NPI Number: 1457763120
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2080667
LAB Type Hospice
Facility Name GREEN HILLS HOSPICE LLC
Street 4893 E FM 552
City FATE
State TX
ZIP 75087
Phone 972 913-4165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Hospice
Lab Director NIEVA L. CUA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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