45D2108372 CLIA NUMBER - ANGEL WINGS HEALTHCARE, LLC

Laboratory Demographics

CLIA Number: 45D2108372

Facility Name: ANGEL WINGS HEALTHCARE, LLC

Facility Address:
1201 N WATSON RD SUITE 187
ARLINGTON, TX
ZIP 76006
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Facility Phone Number: 817 583-6636

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1245601442

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2108372
LAB Type	Hospice
Facility Name	ANGEL WINGS HEALTHCARE, LLC
Street	1201 N WATSON RD SUITE 187
City	ARLINGTON
State	TX
ZIP	76006
Phone	817 583-6636
CertificateType	4
CertificateEffectiveDate	2/3/2024
CertificateExpirationDate	2/2/2026
FacilityType	Waiver

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