45D2200250 CLIA NUMBER - GATEWAY HOSPICE PROVIDERS, LLC

Laboratory Demographics

  • CLIA Code: 45D2200250
  • Facility Name: GATEWAY HOSPICE PROVIDERS, LLC
  • Facility Address: 821 SW ALSBURY BLVD UNIT A
    BURLESON, TX
    ZIP 76028
  • Facility Phone: 682 499-6669
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MISTY HIGHTOWER
  • NPI Number: 1124636386
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2200250
LAB Type Hospice
Facility Name GATEWAY HOSPICE PROVIDERS, LLC
Street 821 SW ALSBURY BLVD UNIT A
City BURLESON
State TX
ZIP 76028
Phone 682 499-6669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Hospice
Lab Director MISTY HIGHTOWER

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