45D2265123 CLIA NUMBER - BELLEVUE HOSPICE CARE INC DBA HOME CARE SELECT HOSPICE

Laboratory Demographics

  • CLIA Code: 45D2265123
  • Facility Name: BELLEVUE HOSPICE CARE INC DBA HOME CARE SELECT HOSPICE
  • Facility Address: 3500 W DAVIS ST SUITE 150B
    CONROE, TX
    ZIP 77304
  • Facility Phone: 936 756-5800
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PENNY DORNBUSH-COBURN
  • NPI Number: 1598424483
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2265123
LAB Type Hospice
Facility Name BELLEVUE HOSPICE CARE INC DBA HOME CARE SELECT HOSPICE
Street 3500 W DAVIS ST SUITE 150B
City CONROE
State TX
ZIP 77304
Phone 936 756-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Hospice
Lab Director PENNY DORNBUSH-COBURN

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