45D2274778 CLIA NUMBER - HOSPICE OF HOPE LLC

Laboratory Demographics

CLIA Number: 45D2274778

Facility Name: HOSPICE OF HOPE LLC

Facility Address:
900 WEST NORTH STREET
KILGORE, TX
ZIP 75662
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Facility Phone Number: 903 315-9629

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1578132676

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2274778
LAB Type	Hospice
Facility Name	HOSPICE OF HOPE LLC
Street	900 WEST NORTH STREET
City	KILGORE
State	TX
ZIP	75662
Phone	903 315-9629
CertificateType	4
CertificateEffectiveDate	1/10/2023
CertificateExpirationDate	1/9/2025
FacilityType	Waiver

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