45D0911614 CLIA NUMBER - COMPASSUS - CORPUS CHRISTI

Laboratory Demographics

CLIA Number: 45D0911614

Facility Name: COMPASSUS - CORPUS CHRISTI

Facility Address:
326 S ENTERPRISE PKWY SUITE 326
CORPUS CHRISTI, TX
ZIP 78405
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Facility Phone Number: 361 232-4459

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1023105210

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 45D0911614
LAB Type Hospice
Facility Name COMPASSUS - CORPUS CHRISTI
Street 326 S ENTERPRISE PKWY SUITE 326
City CORPUS CHRISTI
State TX
ZIP 78405
Phone 361 232-4459
CertificateType 4
CertificateEffectiveDate 2/9/2024
CertificateExpirationDate 2/8/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024