45D2126699 CLIA NUMBER - ANGEL VALLEY HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2126699
  • Facility Name: ANGEL VALLEY HOSPICE, LLC
  • Facility Address: 13601 PRESTON ROAD SUITE 313W
    DALLAS, TX
    ZIP 75240
  • Facility Phone: 469 249-8440
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DESHA HYDE
  • NPI Number: 1134664915
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2126699
LAB Type Hospice
Facility Name ANGEL VALLEY HOSPICE, LLC
Street 13601 PRESTON ROAD SUITE 313W
City DALLAS
State TX
ZIP 75240
Phone 469 249-8440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Hospice
Lab Director DESHA HYDE

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