45D0501513 CLIA NUMBER - SAN ANTONIO A THRU Z PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 45D0501513
  • Facility Name: SAN ANTONIO A THRU Z PEDIATRICS PA
  • Facility Address: 7922 EWING HALSELL DRIVE SUITE 360
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 210 614-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAN RAYALA
  • NPI Number: 1891930103
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D0501513
LAB Type Physician Office
Facility Name SAN ANTONIO A THRU Z PEDIATRICS PA
Street 7922 EWING HALSELL DRIVE SUITE 360
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 614-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director MOHAN RAYALA

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