45D1060071 CLIA NUMBER - AVE MARIA HOSPICE OF FREDRICKSBURG, LLC

Laboratory Demographics

  • CLIA Code: 45D1060071
  • Facility Name: AVE MARIA HOSPICE OF FREDRICKSBURG, LLC
  • Facility Address: 204 S ADAMS ST # A
    FREDERICKSBURG, TX
    ZIP 78624
  • Facility Phone: 830 997-1709
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LUCILLE JUNG
  • NPI Number: 1558376988
  • Taxonomy: 163WH1000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 45D1060071
LAB Type Home Health Agency
Facility Name AVE MARIA HOSPICE OF FREDRICKSBURG, LLC
Street 204 S ADAMS ST # A
City FREDERICKSBURG
State TX
ZIP 78624
Phone 830 997-1709
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Home Health Agency
Lab Director LUCILLE JUNG

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