45D2221032 CLIA NUMBER - PRAYFUL HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2221032
  • Facility Name: PRAYFUL HOSPICE, LLC
  • Facility Address: 2300 VALLEY VIEW LANE SUITE 229
    IRVING, TX
    ZIP 75062
  • Facility Phone: 469 957-0973
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JORGE M. DECENA
  • NPI Number: 1932795036
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2221032
LAB Type Hospice
Facility Name PRAYFUL HOSPICE, LLC
Street 2300 VALLEY VIEW LANE SUITE 229
City IRVING
State TX
ZIP 75062
Phone 469 957-0973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Hospice
Lab Director JORGE M. DECENA

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