45D2108771 CLIA NUMBER - ALLEGIANCE HOSPICE

Laboratory Demographics

CLIA Number: 45D2108771

Facility Name: ALLEGIANCE HOSPICE

Facility Address:
1560 LIVE OAK ST, STE B
WEBSTER, TX
ZIP 77598
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Facility Phone Number: 713 492-0329

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1306416920

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2108771
LAB Type	Hospice
Facility Name	ALLEGIANCE HOSPICE
Street	1560 LIVE OAK ST, STE B
City	WEBSTER
State	TX
ZIP	77598
Phone	713 492-0329
CertificateType	4
CertificateEffectiveDate	2/11/2024
CertificateExpirationDate	2/10/2026
FacilityType	Waiver

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