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

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Laboratory Demographics

CLIA Number: 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
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Facility Phone Number: 210 988-1680

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1760793814

Taxonomy: 251G00000X - Hospice Care, Community Based

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
CertificateType	4
CertificateEffectiveDate	10/11/2022
CertificateExpirationDate	10/10/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024