45D2198463 CLIA NUMBER - CONCHO HEARTS HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2198463
  • Facility Name: CONCHO HEARTS HOSPICE, LLC
  • Facility Address: 706 KNICKERBOCKER RD SUITE 2
    SAN ANGELO, TX
    ZIP 76903
  • Facility Phone: 325 387-8478
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RENE RENDON
  • NPI Number: 1619581725
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2198463
LAB Type Hospice
Facility Name CONCHO HEARTS HOSPICE, LLC
Street 706 KNICKERBOCKER RD SUITE 2
City SAN ANGELO
State TX
ZIP 76903
Phone 325 387-8478
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Hospice
Lab Director RENE RENDON

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