45D2308102 CLIA NUMBER - BENEVOLENCE HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2308102
  • Facility Name: BENEVOLENCE HOSPICE, LLC
  • Facility Address: 210 TANGLEWOOD DR
    WYLIE, TX
    ZIP 75098
  • Facility Phone: 214 206-8541
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SONDRA SKELLY
  • NPI Number: 1477310910
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2308102
LAB Type Hospice
Facility Name BENEVOLENCE HOSPICE, LLC
Street 210 TANGLEWOOD DR
City WYLIE
State TX
ZIP 75098
Phone 214 206-8541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Hospice
Lab Director SONDRA SKELLY

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