45D2315684 CLIA NUMBER - ROSETTAS LIFE HOSPICE DBA LIVING WATER HOME HEALTH

Laboratory Demographics

  • CLIA Code: 45D2315684
  • Facility Name: ROSETTAS LIFE HOSPICE DBA LIVING WATER HOME HEALTH
  • Facility Address: 2379 NE LOOP 410 SUITE #4
    SAN ANTONIO, TX
    ZIP 78217
  • Facility Phone: 210 233-9352
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: REDDY YALAMURI RAVIKANTH
  • NPI Number: 1861249898
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D2315684
LAB Type Hospice
Facility Name ROSETTAS LIFE HOSPICE DBA LIVING WATER HOME HEALTH
Street 2379 NE LOOP 410 SUITE #4
City SAN ANTONIO
State TX
ZIP 78217
Phone 210 233-9352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Hospice
Lab Director REDDY YALAMURI RAVIKANTH

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