45D2254660 CLIA NUMBER - ENSO HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 45D2254660
  • Facility Name: ENSO HOSPICE, LLC
  • Facility Address: 30425 SMITHSON VALLEY RD LOT B STE 5
    SAN ANTONIO, TX
    ZIP 78261
  • Facility Phone: 726 217-8777
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STEPHANIE ELIZONIDO
  • NPI Number: 1083383350
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2254660
LAB Type Hospice
Facility Name ENSO HOSPICE, LLC
Street 30425 SMITHSON VALLEY RD LOT B STE 5
City SAN ANTONIO
State TX
ZIP 78261
Phone 726 217-8777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Hospice
Lab Director STEPHANIE ELIZONIDO

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