45D2262184 CLIA NUMBER - UTOPIA HOSPICE, LLC

Laboratory Demographics

CLIA Number: 45D2262184

Facility Name: UTOPIA HOSPICE, LLC

Facility Address:
1910 PACIFIC AVENUE SUITE 6080
DALLAS, TX
ZIP 75201
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Facility Phone Number: 972 703-9303

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1780330092

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2262184
LAB Type	Hospice
Facility Name	UTOPIA HOSPICE, LLC
Street	1910 PACIFIC AVENUE SUITE 6080
City	DALLAS
State	TX
ZIP	75201
Phone	972 703-9303
CertificateType	4
CertificateEffectiveDate	6/10/2022
CertificateExpirationDate	6/9/2024
FacilityType	Waiver

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