45D2155607 CLIA NUMBER - FAMILY HOSPICE, LTD DAB GENTIVA

Laboratory Demographics

  • CLIA Code: 45D2155607
  • Facility Name: FAMILY HOSPICE, LTD DAB GENTIVA
  • Facility Address: 1911 CORPORATE DRIVE, SUITE 104
    SAN MARCOS, TX
    ZIP 78666
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE Y. BEASLEY
  • NPI Number: 1790795524
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2155607
LAB Type Hospice
Facility Name FAMILY HOSPICE, LTD DAB GENTIVA
Street 1911 CORPORATE DRIVE, SUITE 104
City SAN MARCOS
State TX
ZIP 78666
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Hospice
Lab Director SELECE Y. BEASLEY

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