45D2165269 CLIA NUMBER - LIGHTHOUSE HOSPICE - COASTAL BEND LLC DBA GENTIVA

Laboratory Demographics

  • CLIA Code: 45D2165269
  • Facility Name: LIGHTHOUSE HOSPICE - COASTAL BEND LLC DBA GENTIVA
  • Facility Address: 210 S CARANCAHUA ST, STE 303
    CORPUS CHRISTI, TX
    ZIP 78401
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE Y. BEASLEY
  • NPI Number: 1649321928
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2165269
LAB Type Hospice
Facility Name LIGHTHOUSE HOSPICE - COASTAL BEND LLC DBA GENTIVA
Street 210 S CARANCAHUA ST, STE 303
City CORPUS CHRISTI
State TX
ZIP 78401
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 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Hospice
Lab Director SELECE Y. BEASLEY

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