45D2261919 CLIA NUMBER - DISTINGUISHED HOSPICE INC

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Laboratory Demographics

CLIA Number: 45D2261919

Facility Name: DISTINGUISHED HOSPICE INC

Facility Address:
2922 ROSEDALE ST SUITE 1340
HOUSTON, TX
ZIP 77004
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Facility Phone Number: 713 874-1234

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1518633973

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2261919
LAB Type	Hospice
Facility Name	DISTINGUISHED HOSPICE INC
Street	2922 ROSEDALE ST SUITE 1340
City	HOUSTON
State	TX
ZIP	77004
Phone	713 874-1234
CertificateType	4
CertificateEffectiveDate	6/7/2022
CertificateExpirationDate	6/6/2024
FacilityType	Waiver

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