45D2266741 CLIA NUMBER - DIMALISE PALLIATIVE AND HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 45D2266741
  • Facility Name: DIMALISE PALLIATIVE AND HOSPICE CARE
  • Facility Address: 606 COLDSTONE CT
    ROSENBERG, TX
    ZIP 77469
  • Facility Phone: 832 483-7689
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: EVONNE MANGA
  • NPI Number: 1780340778
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2266741
LAB Type Hospice
Facility Name DIMALISE PALLIATIVE AND HOSPICE CARE
Street 606 COLDSTONE CT
City ROSENBERG
State TX
ZIP 77469
Phone 832 483-7689
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Hospice
Lab Director EVONNE MANGA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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