45D0502178 CLIA NUMBER - NORTHEAST BAPTIST HOSPITAL LABORATORY

Laboratory Demographics

CLIA Number: 45D0502178

Facility Name: NORTHEAST BAPTIST HOSPITAL LABORATORY

Facility Address:
8811 VILLAGE DRIVE
SAN ANTONIO, TX
ZIP 78217
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Facility Phone Number: 210 297-2700

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1124366547

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	45D0502178
LAB Type	Hospital
Facility Name	NORTHEAST BAPTIST HOSPITAL LABORATORY
Street	8811 VILLAGE DRIVE
City	SAN ANTONIO
State	TX
ZIP	78217
Phone	210 297-2700
CertificateType	1
CertificateEffectiveDate	2/9/2023
CertificateExpirationDate	2/8/2025
FacilityType	Accreditation

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