45D2229951 CLIA NUMBER - CARDINAL HOSPICE LLC

Laboratory Demographics

CLIA Number: 45D2229951

Facility Name: CARDINAL HOSPICE LLC

Facility Address:
20534 SAM HOUSTON BLVD A
RIO HONDO, TX
ZIP 78583
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Facility Phone Number: 956 793-3227

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1619552171

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2229951
LAB Type	Hospice
Facility Name	CARDINAL HOSPICE LLC
Street	20534 SAM HOUSTON BLVD A
City	RIO HONDO
State	TX
ZIP	78583
Phone	956 793-3227
CertificateType	4
CertificateEffectiveDate	7/19/2023
CertificateExpirationDate	7/18/2025
FacilityType	Waiver

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