45D2151442 CLIA NUMBER - SOVEREIGN HOSPICE INC

Laboratory Demographics

  • CLIA Code: 45D2151442
  • Facility Name: SOVEREIGN HOSPICE INC
  • Facility Address: 5200 PAIGE RD SUITE 102
    THE COLONY, TX
    ZIP 75056
  • Facility Phone: 214 718-9353
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: BAABA A. ABAKA-SAMPSON
  • NPI Number: 1518456649
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2151442
LAB Type Hospice
Facility Name SOVEREIGN HOSPICE INC
Street 5200 PAIGE RD SUITE 102
City THE COLONY
State TX
ZIP 75056
Phone 214 718-9353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Hospice
Lab Director BAABA A. ABAKA-SAMPSON

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