45D2092632 CLIA NUMBER - THREE OAKS HOSPICE DALLAS, INC DBA THREE OAKS HOSPICE

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Laboratory Demographics

CLIA Number: 45D2092632

Facility Name: THREE OAKS HOSPICE DALLAS, INC DBA THREE OAKS HOSPICE

Facility Address:
331 MELROSE DRIVE, SUITE 230
RICHARDSON, TX
ZIP 75080
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Facility Phone Number: 214 628-9090

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1720648660

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2092632
LAB Type	Hospice
Facility Name	THREE OAKS HOSPICE DALLAS, INC DBA THREE OAKS HOSPICE
Street	331 MELROSE DRIVE, SUITE 230
City	RICHARDSON
State	TX
ZIP	75080
Phone	214 628-9090
CertificateType	4
CertificateEffectiveDate	3/10/2023
CertificateExpirationDate	3/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024