45D2160223 CLIA NUMBER - ABC HOSPICE, LLC DBA GENTIVA

Laboratory Demographics

  • CLIA Code: 45D2160223
  • Facility Name: ABC HOSPICE, LLC DBA GENTIVA
  • Facility Address: 1105 WOODED ACRES DR STE 130
    WACO, TX
    ZIP 76710
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE Y. BEASLEY
  • NPI Number: 1215156021
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2160223
LAB Type Hospice
Facility Name ABC HOSPICE, LLC DBA GENTIVA
Street 1105 WOODED ACRES DR STE 130
City WACO
State TX
ZIP 76710
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 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Hospice
Lab Director SELECE Y. BEASLEY

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