45D2160225 CLIA NUMBER - FAMILY HOSPICE, LTD DBA GENTIVA

Laboratory Demographics

  • CLIA Code: 45D2160225
  • Facility Name: FAMILY HOSPICE, LTD DBA GENTIVA
  • Facility Address: 116 W CONCHO AVENUE
    SAN ANGELO, TX
    ZIP 76903
  • Facility Phone: 704 662-0416
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1609822295
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2160225
LAB Type Hospice
Facility Name FAMILY HOSPICE, LTD DBA GENTIVA
Street 116 W CONCHO AVENUE
City SAN ANGELO
State TX
ZIP 76903
Phone 704 662-0416
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 BEASLEY

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