45D0660415 CLIA NUMBER - LHCG CXVII, LLC DBA CHRISTUS VNA HOSPICE SAN ANTONIO

Laboratory Demographics

  • CLIA Code: 45D0660415
  • Facility Name: LHCG CXVII, LLC DBA CHRISTUS VNA HOSPICE SAN ANTONIO
  • Facility Address: 5253 PRUE ROAD, BUILDING 1, SUITE 100C
    SAN ANTONIO, TX
    ZIP 78240
  • Facility Phone: 210 785-5200
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LISA CORONA
  • NPI Number: 1962926642
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0660415
LAB Type Home Health Agency
Facility Name LHCG CXVII, LLC DBA CHRISTUS VNA HOSPICE SAN ANTONIO
Street 5253 PRUE ROAD, BUILDING 1, SUITE 100C
City SAN ANTONIO
State TX
ZIP 78240
Phone 210 785-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director LISA CORONA

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