45D0500746 CLIA NUMBER - BHS PHYSICIAN NETWORK LLC

Laboratory Demographics

  • CLIA Code: 45D0500746
  • Facility Name: BHS PHYSICIAN NETWORK LLC
  • Facility Address: 8715 VILLAGE DRIVE, STE 305
    SAN ANTONIO, TX
    ZIP 78217
  • Facility Phone: 210 297-2254
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHMAD AZZAWE
  • NPI Number: 1144866799
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 45D0500746
LAB Type Physician Office
Facility Name BHS PHYSICIAN NETWORK LLC
Street 8715 VILLAGE DRIVE, STE 305
City SAN ANTONIO
State TX
ZIP 78217
Phone 210 297-2254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Physician Office
Lab Director AHMAD AZZAWE

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This page was last updated on: 6/4/2025