45D2185033 CLIA NUMBER - NEW AGE HOSPICE PALLIATIVE, LLC

Laboratory Demographics

  • CLIA Code: 45D2185033
  • Facility Name: NEW AGE HOSPICE PALLIATIVE, LLC
  • Facility Address: 2200 SPACE PARK DRIVE, SUITE 405
    HOUSTON, TX
    ZIP 77058
  • Facility Phone: 832 369-6970
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROBERTO MONTES
  • NPI Number: 1881248441
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2185033
LAB Type Hospice
Facility Name NEW AGE HOSPICE PALLIATIVE, LLC
Street 2200 SPACE PARK DRIVE, SUITE 405
City HOUSTON
State TX
ZIP 77058
Phone 832 369-6970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Hospice
Lab Director ROBERTO MONTES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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