45D2160220 CLIA NUMBER - FAMILY HOSPICE, LTD DBA GENTIVA

Laboratory Demographics

  • CLIA Code: 45D2160220
  • Facility Name: FAMILY HOSPICE, LTD DBA GENTIVA
  • Facility Address: 7202 SLIDE ROAD, STE 301
    LUBBOCK, TX
    ZIP 79424
  • Facility Phone: 704 664-1306
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KELLY SANDERS
  • NPI Number: 1720098585
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2160220
LAB Type Hospice
Facility Name FAMILY HOSPICE, LTD DBA GENTIVA
Street 7202 SLIDE ROAD, STE 301
City LUBBOCK
State TX
ZIP 79424
Phone 704 664-1306
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Hospice
Lab Director KELLY SANDERS

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