45D2120454 CLIA NUMBER - ELLIS COUNTY COALITION FOR HEALTH OPTIONS DBA HOPE HEALTH

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Laboratory Demographics

CLIA Number: 45D2120454

Facility Name: ELLIS COUNTY COALITION FOR HEALTH OPTIONS DBA HOPE HEALTH

Facility Address:
805 WEST LAMPASAS
ENNIS, TX
ZIP 75119
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Facility Phone Number: 972 923-2440

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1083648059

Taxonomy: 293D00000X - Physiological Laboratory
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

CLIA Record

Field Name	Field Value
CLIA Number	45D2120454
LAB Type	Federally Qualified Health Center
Facility Name	ELLIS COUNTY COALITION FOR HEALTH OPTIONS DBA HOPE HEALTH
Street	805 WEST LAMPASAS
City	ENNIS
State	TX
ZIP	75119
Phone	972 923-2440
CertificateType	4
CertificateEffectiveDate	10/18/2022
CertificateExpirationDate	10/17/2024
FacilityType	Waiver

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