45D2067066 CLIA NUMBER - GUIDING LIGHT HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 45D2067066
  • Facility Name: GUIDING LIGHT HOSPICE, INC
  • Facility Address: 3218 NACOGDOCHES ROAD
    SAN ANTONIO, TX
    ZIP 78217
  • Facility Phone: 210 585-2335
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MONICA N. TRUST
  • NPI Number: 1578906350
  • Taxonomy: 363LG0600X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2067066
LAB Type Hospice
Facility Name GUIDING LIGHT HOSPICE, INC
Street 3218 NACOGDOCHES ROAD
City SAN ANTONIO
State TX
ZIP 78217
Phone 210 585-2335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Hospice
Lab Director MONICA N. TRUST

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