45D2302210 CLIA NUMBER - DOGWOOD HOSPICE LLC DBA DOGWOOD HOSPICE

Laboratory Demographics

CLIA Number: 45D2302210

Facility Name: DOGWOOD HOSPICE LLC DBA DOGWOOD HOSPICE

Facility Address:
101 W RENNER RD STE 475
RICHARDSON, TX
ZIP 75082
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Facility Phone Number: 682 200-4311

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1952993800

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2302210
LAB Type	Hospice
Facility Name	DOGWOOD HOSPICE LLC DBA DOGWOOD HOSPICE
Street	101 W RENNER RD STE 475
City	RICHARDSON
State	TX
ZIP	75082
Phone	682 200-4311
CertificateType	4
CertificateEffectiveDate	4/5/2024
CertificateExpirationDate	4/4/2026
FacilityType	Waiver

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