45D2254716 CLIA NUMBER - ETERNAL LIGHT HOSPICE INC

Laboratory Demographics

  • CLIA Code: 45D2254716
  • Facility Name: ETERNAL LIGHT HOSPICE INC
  • Facility Address: 2922 ROSEDALE ST SUITE 1220
    HOUSTON, TX
    ZIP 77004
  • Facility Phone: 832 549-0994
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JENNIFER ROY
  • NPI Number: 1427646769
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2254716
LAB Type Hospice
Facility Name ETERNAL LIGHT HOSPICE INC
Street 2922 ROSEDALE ST SUITE 1220
City HOUSTON
State TX
ZIP 77004
Phone 832 549-0994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Hospice
Lab Director JENNIFER ROY

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