45D0951748 CLIA NUMBER - COUNCIL OAKS COMMUNITY OPTIONS

Laboratory Demographics

CLIA Code: 45D0951748
Facility Name: COUNCIL OAKS COMMUNITY OPTIONS
Facility Address: 11901 TOPPERWEIN STE 1001
SAN ANTONIO, TX
ZIP 78233
Facility Phone: 210 646-0717
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: TAMMY MARTIN
NPI Number: 1568511178
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	45D0951748
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	COUNCIL OAKS COMMUNITY OPTIONS
Street	11901 TOPPERWEIN STE 1001
City	SAN ANTONIO
State	TX
ZIP	78233
Phone	210 646-0717
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	9/25/2024
Certificate Expiration Date	9/24/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	TAMMY MARTIN

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