49D2328484 CLIA NUMBER - GRACEFUL LEGACY HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 49D2328484
  • Facility Name: GRACEFUL LEGACY HOSPICE LLC
  • Facility Address: 150 RIVERSIDE PKWY, STE 115
    FREDERICKSBURG, VA
    ZIP 22406
  • Facility Phone: 540 530-5554
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TEXERIA SANDERS-JACKSON
  • NPI Number: 1881436525
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 49D2328484
LAB Type Hospice
Facility Name GRACEFUL LEGACY HOSPICE LLC
Street 150 RIVERSIDE PKWY, STE 115
City FREDERICKSBURG
State VA
ZIP 22406
Phone 540 530-5554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Hospice
Lab Director TEXERIA SANDERS-JACKSON

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