45D0965149 CLIA NUMBER - SAN ANTONIO KIDNEY DISEASE CENTER MISSION CROSSING

Laboratory Demographics

  • CLIA Code: 45D0965149
  • Facility Name: SAN ANTONIO KIDNEY DISEASE CENTER MISSION CROSSING
  • Facility Address: 3124 SIDNEY BROOKS, BLDG 570B2
    SAN ANTONIO, TX
    ZIP 78235
  • Facility Phone: 210 337-4911
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CARIDAD REBOLLAR
  • NPI Number: 1730448937
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0965149
LAB Type Physician Office
Facility Name SAN ANTONIO KIDNEY DISEASE CENTER MISSION CROSSING
Street 3124 SIDNEY BROOKS, BLDG 570B2
City SAN ANTONIO
State TX
ZIP 78235
Phone 210 337-4911
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director CARIDAD REBOLLAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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