45D2181553 CLIA NUMBER - HOLISTIC HOSPICE CARE, LLC

Laboratory Demographics

  • CLIA Code: 45D2181553
  • Facility Name: HOLISTIC HOSPICE CARE, LLC
  • Facility Address: 4115 MEDICAL DRIVE, STE 302E
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 210 664-3901
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JOHNNY RODRIGUEZ
  • NPI Number: 1275172637
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2181553
LAB Type Hospice
Facility Name HOLISTIC HOSPICE CARE, LLC
Street 4115 MEDICAL DRIVE, STE 302E
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 664-3901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Hospice
Lab Director JOHNNY RODRIGUEZ

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