45D2291073 CLIA NUMBER - WILD ROSE HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2291073
  • Facility Name: WILD ROSE HOSPICE, LLC
  • Facility Address: 10101 HARWIN DRIVE SUITE 315
    HOUSTON, TX
    ZIP 77036
  • Facility Phone: 866 247-7681
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MONIQUE B. HUNTER
  • NPI Number: 1437613262
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2291073
LAB Type Hospice
Facility Name WILD ROSE HOSPICE, LLC
Street 10101 HARWIN DRIVE SUITE 315
City HOUSTON
State TX
ZIP 77036
Phone 866 247-7681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Hospice
Lab Director MONIQUE B. HUNTER

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