45D2178661 CLIA NUMBER - PRINCIPLE HOSPICE SERVICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2178661
  • Facility Name: PRINCIPLE HOSPICE SERVICE, LLC
  • Facility Address: 9033 AERO STREET, STE 204B
    SAN ANTONIO, TX
    ZIP 78217
  • Facility Phone: 210 455-6050
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MANDY M. JEREZANO
  • NPI Number: 1265913644
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2178661
LAB Type Hospice
Facility Name PRINCIPLE HOSPICE SERVICE, LLC
Street 9033 AERO STREET, STE 204B
City SAN ANTONIO
State TX
ZIP 78217
Phone 210 455-6050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Hospice
Lab Director MANDY M. JEREZANO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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