45D2240221 CLIA NUMBER - CFHC NO 17 INC

Laboratory Demographics

  • CLIA Code: 45D2240221
  • Facility Name: CFHC NO 17 INC
  • Facility Address: 2819 NW LOOP 410 STE Q
    SAN ANTONIO, TX
    ZIP 78230
  • Facility Phone: 325 480-5002
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CONSUELO PEREZ
  • NPI Number: 1356003560
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2240221
LAB Type Hospice
Facility Name CFHC NO 17 INC
Street 2819 NW LOOP 410 STE Q
City SAN ANTONIO
State TX
ZIP 78230
Phone 325 480-5002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Hospice
Lab Director CONSUELO PEREZ

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