45D2105492 CLIA NUMBER - ST AGNES MEMORIAL HOSPICE INC

Laboratory Demographics

  • CLIA Code: 45D2105492
  • Facility Name: ST AGNES MEMORIAL HOSPICE INC
  • Facility Address: 8826 WASATCH VALLEY LN
    RICHMOND, TX
    ZIP 77407
  • Facility Phone: 888 213-9359
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HELEN PALMER
  • NPI Number: 1295103471
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2105492
LAB Type Hospice
Facility Name ST AGNES MEMORIAL HOSPICE INC
Street 8826 WASATCH VALLEY LN
City RICHMOND
State TX
ZIP 77407
Phone 888 213-9359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Hospice
Lab Director HELEN PALMER

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