45D2118306 CLIA NUMBER - ELYSIAN HOSPICE SAN ANTONIO LLC DBA ELYSIAN HOSPICE

Laboratory Demographics

  • CLIA Code: 45D2118306
  • Facility Name: ELYSIAN HOSPICE SAN ANTONIO LLC DBA ELYSIAN HOSPICE
  • Facility Address: 8122 DATAPOINT DR STE 410B
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 210 375-5016
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JENEVIEVE FOREMAN
  • NPI Number: 1659703833
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2118306
LAB Type Hospice
Facility Name ELYSIAN HOSPICE SAN ANTONIO LLC DBA ELYSIAN HOSPICE
Street 8122 DATAPOINT DR STE 410B
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 375-5016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Hospice
Lab Director JENEVIEVE FOREMAN

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