45D2107023 CLIA NUMBER - PRECISE PERSONALIZED CARE HOSPICE, LLC

Laboratory Demographics

CLIA Number: 45D2107023

Facility Name: PRECISE PERSONALIZED CARE HOSPICE, LLC

Facility Address:
6009 BELTLINE RD SUITE 240
DALLAS, TX
ZIP 75254
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Facility Phone Number: 469 324-5650

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1811404569

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2107023
LAB Type	Hospice
Facility Name	PRECISE PERSONALIZED CARE HOSPICE, LLC
Street	6009 BELTLINE RD SUITE 240
City	DALLAS
State	TX
ZIP	75254
Phone	469 324-5650
CertificateType	4
CertificateEffectiveDate	1/5/2024
CertificateExpirationDate	1/4/2026
FacilityType	Waiver

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