45D1066165 CLIA NUMBER - HARBOR HOSPICE OF AUSTIN LP

Laboratory Demographics

  • CLIA Code: 45D1066165
  • Facility Name: HARBOR HOSPICE OF AUSTIN LP
  • Facility Address: 7800 SHOAL CREEK BLVD SUITE 105 N
    AUSTIN, TX
    ZIP 78757
  • Facility Phone: 512 443-7100
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: THERESA R. COUSINS
  • NPI Number: 1457692139
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D1066165
LAB Type Hospice
Facility Name HARBOR HOSPICE OF AUSTIN LP
Street 7800 SHOAL CREEK BLVD SUITE 105 N
City AUSTIN
State TX
ZIP 78757
Phone 512 443-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Hospice
Lab Director THERESA R. COUSINS

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This page was last updated on: 6/4/2025