45D2240595 CLIA NUMBER - BRIDGEWAY HOSPICE

Laboratory Demographics

  • CLIA Code: 45D2240595
  • Facility Name: BRIDGEWAY HOSPICE
  • Facility Address: 825 MAIN ST SUITE 120
    BUDA, TX
    ZIP 78610
  • Facility Phone: 512 523-5265
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HEATHER DORNER
  • NPI Number: 1255934980
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2240595
LAB Type Hospice
Facility Name BRIDGEWAY HOSPICE
Street 825 MAIN ST SUITE 120
City BUDA
State TX
ZIP 78610
Phone 512 523-5265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Hospice
Lab Director HEATHER DORNER

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