45D2233705 CLIA NUMBER - CHARISE HOSPICE CARE LLC

Laboratory Demographics

  • CLIA Code: 45D2233705
  • Facility Name: CHARISE HOSPICE CARE LLC
  • Facility Address: 1350 E ARAPAHO RD SUITE 207A
    RICHARDSON, TX
    ZIP 75081
  • Facility Phone: 469 895-2180
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SUMA C. JACOB
  • NPI Number: 1518631076
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2233705
LAB Type Hospice
Facility Name CHARISE HOSPICE CARE LLC
Street 1350 E ARAPAHO RD SUITE 207A
City RICHARDSON
State TX
ZIP 75081
Phone 469 895-2180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Hospice
Lab Director SUMA C. JACOB

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