45D2256283 CLIA NUMBER - SOUTHERN BELLE HOSPICE

Laboratory Demographics

  • CLIA Code: 45D2256283
  • Facility Name: SOUTHERN BELLE HOSPICE
  • Facility Address: 9035 INDIGO LK
    SAN ANTONIO, TX
    ZIP 78245
  • Facility Phone: 210 580-6210
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VANESSA LUNA
  • NPI Number: 1700532983
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2256283
LAB Type Hospice
Facility Name SOUTHERN BELLE HOSPICE
Street 9035 INDIGO LK
City SAN ANTONIO
State TX
ZIP 78245
Phone 210 580-6210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Hospice
Lab Director VANESSA LUNA

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