45D2127515 CLIA NUMBER - KNIGHTS OF COMFORT HOSPICE, LLC DBA KNIGHTS OF COMFORT

Laboratory Demographics

CLIA Number: 45D2127515

Facility Name: KNIGHTS OF COMFORT HOSPICE, LLC DBA KNIGHTS OF COMFORT

Facility Address:
10412 BEAR CREEK TRAIL
FORT WORTH, TX
ZIP 76244
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Facility Phone Number: 817 458-3245

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1043673585

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2127515
LAB Type	Hospice
Facility Name	KNIGHTS OF COMFORT HOSPICE, LLC DBA KNIGHTS OF COMFORT
Street	10412 BEAR CREEK TRAIL
City	FORT WORTH
State	TX
ZIP	76244
Phone	817 458-3245
CertificateType	4
CertificateEffectiveDate	4/3/2023
CertificateExpirationDate	4/2/2025
FacilityType	Waiver

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