45D0500239 CLIA NUMBER - ALL-AMERICAN ALLERGY ASTHMA & IMMUNOLOGY CTR

Laboratory Demographics

CLIA Number: 45D0500239

Facility Name: ALL-AMERICAN ALLERGY ASTHMA & IMMUNOLOGY CTR

Facility Address:
1219 MCCULLOUGH AVE
SAN ANTONIO, TX
ZIP 78212
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Facility Phone Number: 504 908-2428

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1356966287

Taxonomy: 207KA0200X - Allergy & Immunology
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	45D0500239
LAB Type	Physician Office
Facility Name	ALL-AMERICAN ALLERGY ASTHMA & IMMUNOLOGY CTR
Street	1219 MCCULLOUGH AVE
City	SAN ANTONIO
State	TX
ZIP	78212
Phone	504 908-2428
CertificateType	3
CertificateEffectiveDate	11/1/2022
CertificateExpirationDate	10/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024