45D2236970 CLIA NUMBER - BLUE WATER HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 45D2236970
  • Facility Name: BLUE WATER HOSPICE LLC
  • Facility Address: 660 S. BAGDAD ROAD SUITE 210
    LEANDER, TX
    ZIP 78641
  • Facility Phone: 512 872-2955
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JENNIFER PRESCOTT
  • NPI Number: 1801460076
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2236970
LAB Type Home Health Agency
Facility Name BLUE WATER HOSPICE LLC
Street 660 S. BAGDAD ROAD SUITE 210
City LEANDER
State TX
ZIP 78641
Phone 512 872-2955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Home Health Agency
Lab Director JENNIFER PRESCOTT

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