45D2166620 CLIA NUMBER - 210 HOSPICE CARE LLC

Laboratory Demographics

  • CLIA Code: 45D2166620
  • Facility Name: 210 HOSPICE CARE LLC
  • Facility Address: 1850 LOCKHILL SELMA SUITE #102
    SAN ANTONIO, TX
    ZIP 78213
  • Facility Phone: 210 281-5888
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: COREY BURKS
  • NPI Number: 1295221745
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2166620
LAB Type Hospice
Facility Name 210 HOSPICE CARE LLC
Street 1850 LOCKHILL SELMA SUITE #102
City SAN ANTONIO
State TX
ZIP 78213
Phone 210 281-5888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Hospice
Lab Director COREY BURKS

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