45D2138587 CLIA NUMBER - AMATUS HOSPICE & PALLIATIVE CARE, LLC

Laboratory Demographics

CLIA Number: 45D2138587

Facility Name: AMATUS HOSPICE & PALLIATIVE CARE, LLC

Facility Address:
2010 VALLEY VIEW LANE STE 210
FARMERS BRANCH, TX
ZIP 75234
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Facility Phone Number: 972 249-4999

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1013447614

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2138587
LAB Type	Hospice
Facility Name	AMATUS HOSPICE & PALLIATIVE CARE, LLC
Street	2010 VALLEY VIEW LANE STE 210
City	FARMERS BRANCH
State	TX
ZIP	75234
Phone	972 249-4999
CertificateType	4
CertificateEffectiveDate	10/20/2023
CertificateExpirationDate	10/19/2025
FacilityType	Waiver

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