45D2246738 CLIA NUMBER - ARDENT HOSPICE CARE LLC

Laboratory Demographics

CLIA Number: 45D2246738

Facility Name: ARDENT HOSPICE CARE LLC

Facility Address:
8208 GULF FREEWAY SUITE 103B
HOUSTON, TX
ZIP 77084
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Facility Phone Number: 832 810-6160

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1629744040

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 45D2246738
LAB Type Hospice
Facility Name ARDENT HOSPICE CARE LLC
Street 8208 GULF FREEWAY SUITE 103B
City HOUSTON
State TX
ZIP 77084
Phone 832 810-6160
CertificateType 4
CertificateEffectiveDate 12/29/2023
CertificateExpirationDate 12/28/2025
FacilityType Waiver

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