45D2291934 CLIA NUMBER - AMERICAN KEYSTONE HOSPICE LLC, THE

Laboratory Demographics

  • CLIA Code: 45D2291934
  • Facility Name: AMERICAN KEYSTONE HOSPICE LLC, THE
  • Facility Address: 4422 RIVERSTONE BLVD ROOM 409
    MISSOURI CITY, TX
    ZIP 77459
  • Facility Phone: 346 304-2020
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VINCENT G. BALLEW
  • NPI Number: 1922237635
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2291934
LAB Type Hospice
Facility Name AMERICAN KEYSTONE HOSPICE LLC, THE
Street 4422 RIVERSTONE BLVD ROOM 409
City MISSOURI CITY
State TX
ZIP 77459
Phone 346 304-2020
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 VINCENT G. BALLEW

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