45D1008128 CLIA NUMBER - HOSPICE BRAZOS VALLEY

Laboratory Demographics

  • CLIA Code: 45D1008128
  • Facility Name: HOSPICE BRAZOS VALLEY
  • Facility Address: 502 W 26TH STREET
    BRYAN, TX
    ZIP 77803
  • Facility Phone: 979 821-2266
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MEAGAN SMITH
  • NPI Number: 1043633746
  • Taxonomy: 207QH0002X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1008128
LAB Type Hospice
Facility Name HOSPICE BRAZOS VALLEY
Street 502 W 26TH STREET
City BRYAN
State TX
ZIP 77803
Phone 979 821-2266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Hospice
Lab Director MEAGAN SMITH

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