45D2177498 CLIA NUMBER - ST JOHNS HOSPICE LLC DBA ST JOHNS HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D2177498
  • Facility Name: ST JOHNS HOSPICE LLC DBA ST JOHNS HOSPICE LLC
  • Facility Address: 4414 CENTERVIEW DRIVE, STE 208
    SAN ANTONIO, TX
    ZIP 78228
  • Facility Phone: 210 718-0551
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LINDA TRINIDAD
  • NPI Number: 1982266300
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2177498
LAB Type Hospice
Facility Name ST JOHNS HOSPICE LLC DBA ST JOHNS HOSPICE LLC
Street 4414 CENTERVIEW DRIVE, STE 208
City SAN ANTONIO
State TX
ZIP 78228
Phone 210 718-0551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Hospice
Lab Director LINDA TRINIDAD

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