45D2305807 CLIA NUMBER - THREE OAKS HOSPICE DALLAS, INC DBA THREE OAKS HOSPICE

Laboratory Demographics

  • CLIA Code: 45D2305807
  • Facility Name: THREE OAKS HOSPICE DALLAS, INC DBA THREE OAKS HOSPICE
  • Facility Address: 109 N JACKSON STREET
    KAUFMAN, TX
    ZIP 75142
  • Facility Phone: 469 758-5567
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MELISSA A. MANSELL
  • NPI Number: 1497377436
  • Taxonomy: 207QH0002X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2305807
LAB Type Hospice
Facility Name THREE OAKS HOSPICE DALLAS, INC DBA THREE OAKS HOSPICE
Street 109 N JACKSON STREET
City KAUFMAN
State TX
ZIP 75142
Phone 469 758-5567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Hospice
Lab Director MELISSA A. MANSELL

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