45D2185828 CLIA NUMBER - VENARKS HOSPICE, INC

Laboratory Demographics

CLIA Number: 45D2185828

Facility Name: VENARKS HOSPICE, INC

Facility Address:
815 BLUEWOOD ST
PRINCETON, TX
ZIP 75407
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Facility Phone Number: 469 247-9720

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1023643061

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2185828
LAB Type	Home Health Agency
Facility Name	VENARKS HOSPICE, INC
Street	815 BLUEWOOD ST
City	PRINCETON
State	TX
ZIP	75407
Phone	469 247-9720
CertificateType	4
CertificateEffectiveDate	6/10/2022
CertificateExpirationDate	6/9/2024
FacilityType	Waiver

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