45D2160776 CLIA NUMBER - WELLNESS PROXY RESOURCES, LLC

Laboratory Demographics

CLIA Number: 45D2160776

Facility Name: WELLNESS PROXY RESOURCES, LLC

Facility Address:
1833 W HUNT ST BLDG B-SUITE 203 #9
MCKINNEY, TX
ZIP 75069
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Facility Phone Number: 469 907-1099

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1447744321

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2160776
LAB Type	Hospice
Facility Name	WELLNESS PROXY RESOURCES, LLC
Street	1833 W HUNT ST BLDG B-SUITE 203 #9
City	MCKINNEY
State	TX
ZIP	75069
Phone	469 907-1099
CertificateType	4
CertificateEffectiveDate	1/17/2023
CertificateExpirationDate	1/16/2025
FacilityType	Waiver

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