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45D2195116 CLIA NUMBER - TRILATERAL CONSULTING LLC DBA CIRCLE OF LIFE HOSPICE AND PALLIATIVE CARE

Laboratory Demographics

CLIA Number: 45D2195116

Facility Name: TRILATERAL CONSULTING LLC DBA CIRCLE OF LIFE HOSPICE AND PALLIATIVE CARE

Facility Address:
12042 BLANCO ROAD, STE 303
SAN ANTONIO, TX
ZIP 78216
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Facility Phone Number: 210 890-2700

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1922657261

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 45D2195116
LAB Type Hospice
Facility Name TRILATERAL CONSULTING LLC DBA CIRCLE OF LIFE HOSPICE AND PALLIATIVE CARE
Street 12042 BLANCO ROAD, STE 303
City SAN ANTONIO
State TX
ZIP 78216
Phone 210 890-2700
CertificateType 4
CertificateEffectiveDate 10/6/2022
CertificateExpirationDate 10/5/2024
FacilityType Waiver

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