45D2252696 CLIA NUMBER - ABUNDANT HOSPICE, LLC

Laboratory Demographics

CLIA Number: 45D2252696

Facility Name: ABUNDANT HOSPICE, LLC

Facility Address:
12500 SAN PEDRO, SUITE #150
SAN ANTONIO, TX
ZIP 78216
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Facility Phone Number: 210 608-0081

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1306493499

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2252696
LAB Type	Hospice
Facility Name	ABUNDANT HOSPICE, LLC
Street	12500 SAN PEDRO, SUITE #150
City	SAN ANTONIO
State	TX
ZIP	78216
Phone	210 608-0081
CertificateType	4
CertificateEffectiveDate	2/14/2024
CertificateExpirationDate	2/13/2026
FacilityType	Waiver

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