45D2014443 CLIA NUMBER - PALLIATIVE PLUS LLC DBA PALOMA HOSPICE AND PALLIATIVE CARE

Laboratory Demographics

  • CLIA Code: 45D2014443
  • Facility Name: PALLIATIVE PLUS LLC DBA PALOMA HOSPICE AND PALLIATIVE CARE
  • Facility Address: 4400 S PIEDRAS DR. SUITE 209
    SAN ANTONIO, TX
    ZIP 78228
  • Facility Phone: 210 988-1680
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KELLIE A. GIBSON
  • NPI Number: 1760793814
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2014443
LAB Type Hospice
Facility Name PALLIATIVE PLUS LLC DBA PALOMA HOSPICE AND PALLIATIVE CARE
Street 4400 S PIEDRAS DR. SUITE 209
City SAN ANTONIO
State TX
ZIP 78228
Phone 210 988-1680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Hospice
Lab Director KELLIE A. GIBSON

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