45D1106839 CLIA NUMBER - ANGEL HEART HOSPICE, LLC DBA NEW CENTURY HOSPICE OF AUSTIN

Laboratory Demographics

  • CLIA Code: 45D1106839
  • Facility Name: ANGEL HEART HOSPICE, LLC DBA NEW CENTURY HOSPICE OF AUSTIN
  • Facility Address: 9430 RESEARCH BLVD, SUITE II-100
    AUSTIN, TX
    ZIP 78759
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1013901719
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D1106839
LAB Type Hospice
Facility Name ANGEL HEART HOSPICE, LLC DBA NEW CENTURY HOSPICE OF AUSTIN
Street 9430 RESEARCH BLVD, SUITE II-100
City AUSTIN
State TX
ZIP 78759
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Hospice
Lab Director SELECE BEASLEY

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