45D1035524 CLIA NUMBER - COASTAL BEND WELLNESS FOUNDATION

Laboratory Demographics

CLIA Code: 45D1035524
Facility Name: COASTAL BEND WELLNESS FOUNDATION
Facility Address: 2882 HOLLY ROAD
CORPUS CHRISTI, TX
ZIP 78415
Facility Phone: 361 814-2001
Facility Type: Other
Facility Type: Waiver
Lab Director: BILL HOELSCHER
NPI Number: 1578849147
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	45D1035524
LAB Type	Other
Facility Name	COASTAL BEND WELLNESS FOUNDATION
Street	2882 HOLLY ROAD
City	CORPUS CHRISTI
State	TX
ZIP	78415
Phone	361 814-2001
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/5/2025
Certificate Expiration Date	1/4/2027
Facility Type	Other
Lab Director	BILL HOELSCHER

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