45D2177749 CLIA NUMBER - ISERVE HOSPICE, LLC

Laboratory Demographics

CLIA Number: 45D2177749

Facility Name: ISERVE HOSPICE, LLC

Facility Address:
904 WATER GARDEN CIRCLE SUITE B
LITTLE ELM, TX
ZIP 75068
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Facility Phone Number: 469 379-2682

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1285282608

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2177749
LAB Type	Hospice
Facility Name	ISERVE HOSPICE, LLC
Street	904 WATER GARDEN CIRCLE SUITE B
City	LITTLE ELM
State	TX
ZIP	75068
Phone	469 379-2682
CertificateType	4
CertificateEffectiveDate	1/17/2024
CertificateExpirationDate	1/16/2026
FacilityType	Waiver

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