45D2080693 CLIA NUMBER - GREENLEAF HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D2080693
  • Facility Name: GREENLEAF HOSPICE LLC
  • Facility Address: 1290 HWY 157N
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 682 518-3877
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RIAZ HAIDER
  • NPI Number: 1295148559
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2080693
LAB Type Hospice
Facility Name GREENLEAF HOSPICE LLC
Street 1290 HWY 157N
City MANSFIELD
State TX
ZIP 76063
Phone 682 518-3877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Hospice
Lab Director RIAZ HAIDER

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