45D2172979 CLIA NUMBER - AMBER HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2172979
  • Facility Name: AMBER HOSPICE, LLC
  • Facility Address: 5802 WATAUGA RD SUITE 100
    WATAUGA, TX
    ZIP 76148
  • Facility Phone: 817 406-1500
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MOHAMMED IQBAL
  • NPI Number: 1063063881
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2172979
LAB Type Home Health Agency
Facility Name AMBER HOSPICE, LLC
Street 5802 WATAUGA RD SUITE 100
City WATAUGA
State TX
ZIP 76148
Phone 817 406-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Home Health Agency
Lab Director MOHAMMED IQBAL

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