45D2132498 CLIA NUMBER - SOUTHERN PINES HEALTHCARE LLC D/B/A FRONTIER HOSPICE

Laboratory Demographics

  • CLIA Code: 45D2132498
  • Facility Name: SOUTHERN PINES HEALTHCARE LLC D/B/A FRONTIER HOSPICE
  • Facility Address: 6410 SOUTHWEST BOULEVARD, SUITE 127
    BENBROOK, TX
    ZIP 76109
  • Facility Phone: 832 553-2276
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LISA FLORES
  • NPI Number: 1265969307
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2132498
LAB Type Hospice
Facility Name SOUTHERN PINES HEALTHCARE LLC D/B/A FRONTIER HOSPICE
Street 6410 SOUTHWEST BOULEVARD, SUITE 127
City BENBROOK
State TX
ZIP 76109
Phone 832 553-2276
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Hospice
Lab Director LISA FLORES

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