45D2173443 CLIA NUMBER - PRIM PALLIATIVE & HOSPICE CARE, INC

Laboratory Demographics

  • CLIA Code: 45D2173443
  • Facility Name: PRIM PALLIATIVE & HOSPICE CARE, INC
  • Facility Address: 5048 TENNYSON PKWY SUITE 250
    PLANO, TX
    ZIP 75024
  • Facility Phone: 469 328-7219
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PRISCILLA KALESOI
  • NPI Number: 1124684196
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2173443
LAB Type Hospice
Facility Name PRIM PALLIATIVE & HOSPICE CARE, INC
Street 5048 TENNYSON PKWY SUITE 250
City PLANO
State TX
ZIP 75024
Phone 469 328-7219
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Hospice
Lab Director PRISCILLA KALESOI

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