45D2259825 CLIA NUMBER - SOLEIL HAVEN HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2259825
  • Facility Name: SOLEIL HAVEN HOSPICE, LLC
  • Facility Address: 4453 SAVAGE STATION DR 1ST FLOOR
    GRAND PRAIRIE, TX
    ZIP 75052
  • Facility Phone: 214 400-3710
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: OMOLARA ALAMUDUN
  • NPI Number: 1548900566
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2259825
LAB Type Hospice
Facility Name SOLEIL HAVEN HOSPICE, LLC
Street 4453 SAVAGE STATION DR 1ST FLOOR
City GRAND PRAIRIE
State TX
ZIP 75052
Phone 214 400-3710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Hospice
Lab Director OMOLARA ALAMUDUN

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