45D1058018 CLIA NUMBER - HOSPICE OF BALLINGER

Laboratory Demographics

  • CLIA Code: 45D1058018
  • Facility Name: HOSPICE OF BALLINGER
  • Facility Address: 2001 HUTCHINS AVE SUITE 2
    BALLINGER, TX
    ZIP 76821
  • Facility Phone: 325 365-2375
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MICHELLE R. AGUILERA
  • NPI Number: 1376646653
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D1058018
LAB Type Hospice
Facility Name HOSPICE OF BALLINGER
Street 2001 HUTCHINS AVE SUITE 2
City BALLINGER
State TX
ZIP 76821
Phone 325 365-2375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Hospice
Lab Director MICHELLE R. AGUILERA

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This page was last updated on: 3/20/2025