45D2233705 CLIA NUMBER - CHARISE HOSPICE CARE LLC

Laboratory Demographics

CLIA Number: 45D2233705

Facility Name: CHARISE HOSPICE CARE LLC

Facility Address:
1350 E ARAPAHO RD SUITE 207A
RICHARDSON, TX
ZIP 75081
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Facility Phone Number: 469 895-2180

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1518631076

Taxonomy: 251G00000X - Hospice Care, Community Based

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
CertificateType	4
CertificateEffectiveDate	8/25/2023
CertificateExpirationDate	8/24/2025
FacilityType	Waiver

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