45D2274888 CLIA NUMBER - BESPOKE HOSPICE CARE, LLC

Laboratory Demographics

  • CLIA Code: 45D2274888
  • Facility Name: BESPOKE HOSPICE CARE, LLC
  • Facility Address: 9001 AIRPORT FREEWAY SUITE 580
    NORTH RICHLAND HILLS, TX
    ZIP 76180
  • Facility Phone: 817 527-8518
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MANDI BRICKEY
  • NPI Number: 1215670096
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2274888
LAB Type Hospice
Facility Name BESPOKE HOSPICE CARE, LLC
Street 9001 AIRPORT FREEWAY SUITE 580
City NORTH RICHLAND HILLS
State TX
ZIP 76180
Phone 817 527-8518
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Hospice
Lab Director MANDI BRICKEY

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