45D2315025 CLIA NUMBER - GIFTED HANDS HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D2315025
  • Facility Name: GIFTED HANDS HOSPICE LLC
  • Facility Address: 4402 BROADWAY BLVD SUITE 14D
    GARLAND, TX
    ZIP 75043
  • Facility Phone: 972 360-7482
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SUSAN SHIBU
  • NPI Number: 1396433702
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2315025
LAB Type Hospice
Facility Name GIFTED HANDS HOSPICE LLC
Street 4402 BROADWAY BLVD SUITE 14D
City GARLAND
State TX
ZIP 75043
Phone 972 360-7482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Hospice
Lab Director SUSAN SHIBU

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