45D2136478 CLIA NUMBER - IMS HOSPICE CARE, INC

Laboratory Demographics

CLIA Number: 45D2136478

Facility Name: IMS HOSPICE CARE, INC

Facility Address:
1302 E 8TH ST
WESLACO, TX
ZIP 78596
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Facility Phone Number: 956 975-2615

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1184160079

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2136478
LAB Type	Hospice
Facility Name	IMS HOSPICE CARE, INC
Street	1302 E 8TH ST
City	WESLACO
State	TX
ZIP	78596
Phone	956 975-2615
CertificateType	4
CertificateEffectiveDate	9/11/2023
CertificateExpirationDate	9/10/2025
FacilityType	Waiver

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