45D2254478 CLIA NUMBER - ST FRANCIS HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2254478
  • Facility Name: ST FRANCIS HOSPICE, LLC
  • Facility Address: 4453 SAVAGE STATION DR
    GRAND PRAIRIE, TX
    ZIP 75052
  • Facility Phone: 817 846-5847
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: OMOLARA ALAMUDUN
  • NPI Number: 1689338329
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2254478
LAB Type Hospice
Facility Name ST FRANCIS HOSPICE, LLC
Street 4453 SAVAGE STATION DR
City GRAND PRAIRIE
State TX
ZIP 75052
Phone 817 846-5847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Hospice
Lab Director OMOLARA ALAMUDUN

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