45D0910465 CLIA NUMBER - SAN ANTONIO NORTH NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 45D0910465
  • Facility Name: SAN ANTONIO NORTH NURSING AND REHABILITATION
  • Facility Address: 501 OGDEN STREET
    SAN ANTONIO, TX
    ZIP 78212
  • Facility Phone: 210 225-4588
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KEVIN LARSEN
  • NPI Number: 1861513285
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0910465
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SAN ANTONIO NORTH NURSING AND REHABILITATION
Street 501 OGDEN STREET
City SAN ANTONIO
State TX
ZIP 78212
Phone 210 225-4588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KEVIN LARSEN

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