45D2114104 CLIA NUMBER - CROWN HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D2114104
  • Facility Name: CROWN HOSPICE LLC
  • Facility Address: 1406 E RED RIVER STREET
    VICTORIA, TX
    ZIP 77904
  • Facility Phone: 361 575-5900
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TRISTA WINKENWERDER
  • NPI Number: 1891843660
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2114104
LAB Type Hospice
Facility Name CROWN HOSPICE LLC
Street 1406 E RED RIVER STREET
City VICTORIA
State TX
ZIP 77904
Phone 361 575-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Hospice
Lab Director TRISTA WINKENWERDER

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