45D2161271 CLIA NUMBER - CONCORD HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 45D2161271
  • Facility Name: CONCORD HOSPICE CARE
  • Facility Address: 7981 MILE 17 N, SUITE C
    EDCOUCH, TX
    ZIP 78538
  • Facility Phone: 956 532-7983
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JERARDO PENA
  • NPI Number: 1215412127
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2161271
LAB Type Hospice
Facility Name CONCORD HOSPICE CARE
Street 7981 MILE 17 N, SUITE C
City EDCOUCH
State TX
ZIP 78538
Phone 956 532-7983
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Hospice
Lab Director JERARDO PENA

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