45D2145069 CLIA NUMBER - HOLY HOSPICE & PALLIATIVE CARE, LLC

Laboratory Demographics

CLIA Number: 45D2145069

Facility Name: HOLY HOSPICE & PALLIATIVE CARE, LLC

Facility Address:
2300 VALLEY VIEW LN SUITE 915
IRVING, TX
ZIP 75062
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Facility Phone Number: 214 556-3300

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1508383464

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2145069
LAB Type	Hospice
Facility Name	HOLY HOSPICE & PALLIATIVE CARE, LLC
Street	2300 VALLEY VIEW LN SUITE 915
City	IRVING
State	TX
ZIP	75062
Phone	214 556-3300
CertificateType	4
CertificateEffectiveDate	2/29/2024
CertificateExpirationDate	2/27/2026
FacilityType	Waiver

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