45D2093165 CLIA NUMBER - FAIRMONT HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D2093165
  • Facility Name: FAIRMONT HOSPICE LLC
  • Facility Address: 300 JACKSON ST
    RICHMOND, TX
    ZIP 77469
  • Facility Phone: 832 434-2670
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: NIDHU KURUP
  • NPI Number: 1619670338
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2093165
LAB Type Hospice
Facility Name FAIRMONT HOSPICE LLC
Street 300 JACKSON ST
City RICHMOND
State TX
ZIP 77469
Phone 832 434-2670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Hospice
Lab Director NIDHU KURUP

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