45D2190453 CLIA NUMBER - RESIDENTIAL HOSPICE INC

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Laboratory Demographics

CLIA Number: 45D2190453

Facility Name: RESIDENTIAL HOSPICE INC

Facility Address:
2922 ROSEDALE ST SUITE 1210
HOUSTON, TX
ZIP 77004
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Facility Phone Number: 832 549-0994

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1962038059

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2190453
LAB Type	Hospice
Facility Name	RESIDENTIAL HOSPICE INC
Street	2922 ROSEDALE ST SUITE 1210
City	HOUSTON
State	TX
ZIP	77004
Phone	832 549-0994
CertificateType	4
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	Waiver

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