45D2260050 CLIA NUMBER - BELLA HOSPICE DBA CHAMPION HEALTHCARE OF NORTH TEXAS

Laboratory Demographics

  • CLIA Code: 45D2260050
  • Facility Name: BELLA HOSPICE DBA CHAMPION HEALTHCARE OF NORTH TEXAS
  • Facility Address: 8300 DOUGLAS AVE SUITE 800
    DALLAS, TX
    ZIP 75225
  • Facility Phone: 945 201-0576
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RITA JASSO
  • NPI Number: 1972788164
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D2260050
LAB Type Hospice
Facility Name BELLA HOSPICE DBA CHAMPION HEALTHCARE OF NORTH TEXAS
Street 8300 DOUGLAS AVE SUITE 800
City DALLAS
State TX
ZIP 75225
Phone 945 201-0576
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Hospice
Lab Director RITA JASSO

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