45D2240344 CLIA NUMBER - TEXAS HOSPICE PROVIDERS, LLC

Laboratory Demographics

CLIA Number: 45D2240344

Facility Name: TEXAS HOSPICE PROVIDERS, LLC

Facility Address:
2306 GUTHRIE ROAD STE 260H
GARLAND, TX
ZIP 75043
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Facility Phone Number: 972 424-4401

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1700485752

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2240344
LAB Type	Hospice
Facility Name	TEXAS HOSPICE PROVIDERS, LLC
Street	2306 GUTHRIE ROAD STE 260H
City	GARLAND
State	TX
ZIP	75043
Phone	972 424-4401
CertificateType	4
CertificateEffectiveDate	10/19/2023
CertificateExpirationDate	10/18/2025
FacilityType	Waiver

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