45D2097116 CLIA NUMBER - FOUR SEASONS HOSPICE

Laboratory Demographics

  • CLIA Code: 45D2097116
  • Facility Name: FOUR SEASONS HOSPICE
  • Facility Address: 15420 NACOGDOCHES ROAD
    SAN ANTONIO, TX
    ZIP 78247
  • Facility Phone: 210 767-3870
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: COLACINO GEOFF
  • NPI Number: 1437607108
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2097116
LAB Type Hospice
Facility Name FOUR SEASONS HOSPICE
Street 15420 NACOGDOCHES ROAD
City SAN ANTONIO
State TX
ZIP 78247
Phone 210 767-3870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Hospice
Lab Director COLACINO GEOFF

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