45D2172909 CLIA NUMBER - CAYLOR HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D2172909
  • Facility Name: CAYLOR HOSPICE LLC
  • Facility Address: 1840 LOCKHILL SELMA ROAD, SUITE 103K
    SAN ANTONIO, TX
    ZIP 78213
  • Facility Phone: 210 994-5388
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ERIC A. PETERSEN
  • NPI Number: 1346890449
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2172909
LAB Type Hospice
Facility Name CAYLOR HOSPICE LLC
Street 1840 LOCKHILL SELMA ROAD, SUITE 103K
City SAN ANTONIO
State TX
ZIP 78213
Phone 210 994-5388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Hospice
Lab Director ERIC A. PETERSEN

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