45D2215897 CLIA NUMBER - CALVERT HOSPICE, LLC

Laboratory Demographics

CLIA Number: 45D2215897

Facility Name: CALVERT HOSPICE, LLC

Facility Address:
10207 INDIANA AVENUE
LUBBOCK, TX
ZIP 79423
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Facility Phone Number: 806 747-8972

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1760639785

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	45D2215897
LAB Type	Hospice
Facility Name	CALVERT HOSPICE, LLC
Street	10207 INDIANA AVENUE
City	LUBBOCK
State	TX
ZIP	79423
Phone	806 747-8972
CertificateType	4
CertificateEffectiveDate	3/8/2023
CertificateExpirationDate	3/7/2025
FacilityType	Waiver

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