45D2169983 CLIA NUMBER - BUENA VIDA HOSPICE, LLC

Laboratory Demographics

CLIA Number: 45D2169983

Facility Name: BUENA VIDA HOSPICE, LLC

Facility Address:
810 HIGHWAY 6 S SUITE 101
HOUSTON, TX
ZIP 77079
Get Directions

Facility Phone Number: 713 447-1813

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1295297596

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2169983
LAB Type	Hospice
Facility Name	BUENA VIDA HOSPICE, LLC
Street	810 HIGHWAY 6 S SUITE 101
City	HOUSTON
State	TX
ZIP	77079
Phone	713 447-1813
CertificateType	4
CertificateEffectiveDate	7/31/2023
CertificateExpirationDate	7/30/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024