45D2058533 CLIA NUMBER - PALLI-MED HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D2058533
  • Facility Name: PALLI-MED HOSPICE LLC
  • Facility Address: 208 S ALTON BLVD
    ALTON, TX
    ZIP 78573
  • Facility Phone: 956 627-2744
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: NELSON DOCKERY
  • NPI Number: 1548509466
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2058533
LAB Type Hospice
Facility Name PALLI-MED HOSPICE LLC
Street 208 S ALTON BLVD
City ALTON
State TX
ZIP 78573
Phone 956 627-2744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Hospice
Lab Director NELSON DOCKERY

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