45D2138579 CLIA NUMBER - CRYSTAL HOSPICE CARE, LLC DBA VERA HOSPICE

Laboratory Demographics

  • CLIA Code: 45D2138579
  • Facility Name: CRYSTAL HOSPICE CARE, LLC DBA VERA HOSPICE
  • Facility Address: 14140 MIDWAY RD SUITE 104
    FARMERS BRANCH, TX
    ZIP 75244
  • Facility Phone: 469 327-5590
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DWANDA L. JACKSON-BEY
  • NPI Number: 1497203335
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2138579
LAB Type Hospice
Facility Name CRYSTAL HOSPICE CARE, LLC DBA VERA HOSPICE
Street 14140 MIDWAY RD SUITE 104
City FARMERS BRANCH
State TX
ZIP 75244
Phone 469 327-5590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Hospice
Lab Director DWANDA L. JACKSON-BEY

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