45D2190946 CLIA NUMBER - JOURNEY HOSPICE LLC

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Laboratory Demographics

CLIA Number: 45D2190946

Facility Name: JOURNEY HOSPICE LLC

Facility Address:
10010 SAN PEDRO, AVE, SUITE 330
SAN ANTONIO, TX
ZIP 78216
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Facility Phone Number: 210 422-9739

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1194256883

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2190946
LAB Type	Hospice
Facility Name	JOURNEY HOSPICE LLC
Street	10010 SAN PEDRO, AVE, SUITE 330
City	SAN ANTONIO
State	TX
ZIP	78216
Phone	210 422-9739
CertificateType	4
CertificateEffectiveDate	8/20/2022
CertificateExpirationDate	8/19/2024
FacilityType	Waiver

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