45D2300857 CLIA NUMBER - FRONTIDA HOSPICE CARE LLC

Laboratory Demographics

  • CLIA Code: 45D2300857
  • Facility Name: FRONTIDA HOSPICE CARE LLC
  • Facility Address: 3609 SMITH BARRY RD SUITE 106
    PANTEGO, TX
    ZIP 76013
  • Facility Phone: 909 559-7455
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ADEWALE ODUKOYA
  • NPI Number: 1346941275
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2300857
LAB Type Hospice
Facility Name FRONTIDA HOSPICE CARE LLC
Street 3609 SMITH BARRY RD SUITE 106
City PANTEGO
State TX
ZIP 76013
Phone 909 559-7455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Hospice
Lab Director ADEWALE ODUKOYA

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