45D2157306 CLIA NUMBER - FAMILY HOSPICE, LTD DBA GENTIVA

Laboratory Demographics

  • CLIA Code: 45D2157306
  • Facility Name: FAMILY HOSPICE, LTD DBA GENTIVA
  • Facility Address: 7557 RAMBLER RD SUITE 560
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1033129887
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2157306
LAB Type Hospice
Facility Name FAMILY HOSPICE, LTD DBA GENTIVA
Street 7557 RAMBLER RD SUITE 560
City DALLAS
State TX
ZIP 75231
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Hospice
Lab Director SELECE BEASLEY

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