45D2289756 CLIA NUMBER - CAPSTONE HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D2289756
  • Facility Name: CAPSTONE HOSPICE LLC
  • Facility Address: 17347 VILLAGE GREEN DR SUITE 109
    JERSEY VILLAGE, TX
    ZIP 77040
  • Facility Phone: 281 204-2695
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KRISTI JUSTICE
  • NPI Number: 1114515657
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2289756
LAB Type Hospice
Facility Name CAPSTONE HOSPICE LLC
Street 17347 VILLAGE GREEN DR SUITE 109
City JERSEY VILLAGE
State TX
ZIP 77040
Phone 281 204-2695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Hospice
Lab Director KRISTI JUSTICE

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