45D2177499 CLIA NUMBER - ST MARYS HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2177499
  • Facility Name: ST MARYS HOSPICE, LLC
  • Facility Address: 920 STOCKTON DR SUITE A
    ALLEN, TX
    ZIP 75013
  • Facility Phone: 469 682-5733
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DEJENA HOWELL
  • NPI Number: 1780246108
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2177499
LAB Type Hospice
Facility Name ST MARYS HOSPICE, LLC
Street 920 STOCKTON DR SUITE A
City ALLEN
State TX
ZIP 75013
Phone 469 682-5733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Hospice
Lab Director DEJENA HOWELL

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