45D2021300 CLIA NUMBER - RIVER CITY HOSPICE

Laboratory Demographics

  • CLIA Code: 45D2021300
  • Facility Name: RIVER CITY HOSPICE
  • Facility Address: 5109 MEDICAL DRIVE, STE 101
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 512 292-4929
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JAAFAR SALEH
  • NPI Number: 1679665244
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2021300
LAB Type Hospice
Facility Name RIVER CITY HOSPICE
Street 5109 MEDICAL DRIVE, STE 101
City SAN ANTONIO
State TX
ZIP 78229
Phone 512 292-4929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Hospice
Lab Director JAAFAR SALEH

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