45D2124164 CLIA NUMBER - MI CASA HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D2124164
  • Facility Name: MI CASA HOSPICE LLC
  • Facility Address: 701 N TEXAS BLVD, STE B
    ALICE, TX
    ZIP 78332
  • Facility Phone: 361 453-4105
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AMANDA GARZA
  • NPI Number: 1689028920
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2124164
LAB Type Hospice
Facility Name MI CASA HOSPICE LLC
Street 701 N TEXAS BLVD, STE B
City ALICE
State TX
ZIP 78332
Phone 361 453-4105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Hospice
Lab Director AMANDA GARZA

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