45D2190946 CLIA NUMBER - JOURNEY HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D2190946
  • Facility Name: JOURNEY HOSPICE LLC
  • Facility Address: 10010 SAN PEDRO, AVE, SUITE 330
    SAN ANTONIO, TX
    ZIP 78216
  • Facility Phone: 210 422-9739
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DENISE MATA
  • NPI Number: 1194256883
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Hospice
Lab Director DENISE MATA

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