45D0660455 CLIA NUMBER - STONE OAK DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D0660455
  • Facility Name: STONE OAK DIALYSIS
  • Facility Address: 731 CARNOUSTIE DRIVE STE 101
    SAN ANTONIO, TX
    ZIP 78258
  • Facility Phone: 210 403-2162
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TABATABAI SAYED
  • NPI Number: 1386719888
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0660455
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name STONE OAK DIALYSIS
Street 731 CARNOUSTIE DRIVE STE 101
City SAN ANTONIO
State TX
ZIP 78258
Phone 210 403-2162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TABATABAI SAYED

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