45D2108597 CLIA NUMBER - ENVOY HOSPICE NORTH, LLC DBA LIFEWAY HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2108597
  • Facility Name: ENVOY HOSPICE NORTH, LLC DBA LIFEWAY HOSPICE, LLC
  • Facility Address: 4100 INTERNATIONAL PKWY SUITE 2100
    CARROLLTON, TX
    ZIP 75007
  • Facility Phone: 972 807-2670
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANDREA R. PETE
  • NPI Number: 1912376112
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2108597
LAB Type Hospice
Facility Name ENVOY HOSPICE NORTH, LLC DBA LIFEWAY HOSPICE, LLC
Street 4100 INTERNATIONAL PKWY SUITE 2100
City CARROLLTON
State TX
ZIP 75007
Phone 972 807-2670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Hospice
Lab Director ANDREA R. PETE

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