45D2152393 CLIA NUMBER - FOUR WINDS HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 45D2152393
  • Facility Name: FOUR WINDS HOSPICE, INC
  • Facility Address: 12703 COAL MINE RISE
    SAN ANTONIO, TX
    ZIP 78245
  • Facility Phone: 210 239-7719
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DIANA ALMANZA
  • NPI Number: 1649763517
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2152393
LAB Type Hospice
Facility Name FOUR WINDS HOSPICE, INC
Street 12703 COAL MINE RISE
City SAN ANTONIO
State TX
ZIP 78245
Phone 210 239-7719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Hospice
Lab Director DIANA ALMANZA

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