45D2207359 CLIA NUMBER - FULL HEARTS HOSPICE LLC

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Laboratory Demographics

CLIA Number: 45D2207359

Facility Name: FULL HEARTS HOSPICE LLC

Facility Address:
8303 SOUTHWEST FREEWAY SUITE 547
HOUSTON, TX
ZIP 77074
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Facility Phone Number: 281 630-0483

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1215533666

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2207359
LAB Type	Hospice
Facility Name	FULL HEARTS HOSPICE LLC
Street	8303 SOUTHWEST FREEWAY SUITE 547
City	HOUSTON
State	TX
ZIP	77074
Phone	281 630-0483
CertificateType	4
CertificateEffectiveDate	12/28/2022
CertificateExpirationDate	12/27/2024
FacilityType	Waiver

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