45D2158808 CLIA NUMBER - VIDA DE PAZ, LLC

Laboratory Demographics

CLIA Number: 45D2158808

Facility Name: VIDA DE PAZ, LLC

Facility Address:
103 N TOWER ROAD, STE 4
ALAMO, TX
ZIP 78516
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Facility Phone Number: 956 601-1914

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1144704818

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2158808
LAB Type	Independent
Facility Name	VIDA DE PAZ, LLC
Street	103 N TOWER ROAD, STE 4
City	ALAMO
State	TX
ZIP	78516
Phone	956 601-1914
CertificateType	4
CertificateEffectiveDate	12/6/2022
CertificateExpirationDate	12/5/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024