45D2252127 CLIA NUMBER - PEACEFUL BRIDGE HOSPICE

Laboratory Demographics

CLIA Number: 45D2252127

Facility Name: PEACEFUL BRIDGE HOSPICE

Facility Address:
1610 BLODGETT (B)
HOUSTON, TX
ZIP 77004
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Facility Phone Number: 281 414-2141

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1881916336

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2252127
LAB Type	Hospice
Facility Name	PEACEFUL BRIDGE HOSPICE
Street	1610 BLODGETT (B)
City	HOUSTON
State	TX
ZIP	77004
Phone	281 414-2141
CertificateType	4
CertificateEffectiveDate	2/8/2024
CertificateExpirationDate	2/7/2026
FacilityType	Waiver

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