45D2315175 CLIA NUMBER - PDSF HOSPICE & PALLIATIVE CARE

Laboratory Demographics

  • CLIA Code: 45D2315175
  • Facility Name: PDSF HOSPICE & PALLIATIVE CARE
  • Facility Address: 1205 FOXTAIL DR
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 682 310-0282
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ENDALINE ODOEMENE-UGWUIBE
  • NPI Number: 1922684059
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2315175
LAB Type Hospice
Facility Name PDSF HOSPICE & PALLIATIVE CARE
Street 1205 FOXTAIL DR
City MANSFIELD
State TX
ZIP 76063
Phone 682 310-0282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Hospice
Lab Director ENDALINE ODOEMENE-UGWUIBE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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