45D0500630 CLIA NUMBER - TEXAS MEDCLINIC BL

Laboratory Demographics

CLIA Number: 45D0500630

Facility Name: TEXAS MEDCLINIC BL

Facility Address:
11811 BLANCO ROAD
SAN ANTONIO, TX
ZIP 78216
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Facility Phone Number: 458 215-2457

Facility Type: Other - URGENT CARE

Certificate Type: Microscopy

NPI Number: 1003271800

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0500630
LAB Type	Other - URGENT CARE
Facility Name	TEXAS MEDCLINIC BL
Street	11811 BLANCO ROAD
City	SAN ANTONIO
State	TX
ZIP	78216
Phone	458 215-2457
CertificateType	3
CertificateEffectiveDate	3/15/2024
CertificateExpirationDate	3/14/2026
FacilityType	PPMP

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