45D2238132 CLIA NUMBER - MILLENIA HOSPICE

Laboratory Demographics

  • CLIA Code: 45D2238132
  • Facility Name: MILLENIA HOSPICE
  • Facility Address: 9450 SKILLMAN ST SUITE 105
    DALLAS, TX
    ZIP 75243
  • Facility Phone: 469 677-0241
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: EMMANUEL EDEHIA
  • NPI Number: 1255962411
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2238132
LAB Type Hospice
Facility Name MILLENIA HOSPICE
Street 9450 SKILLMAN ST SUITE 105
City DALLAS
State TX
ZIP 75243
Phone 469 677-0241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Hospice
Lab Director EMMANUEL EDEHIA

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