45D0970781 CLIA NUMBER - DAVILA PHARMACY

Laboratory Demographics

  • CLIA Code: 45D0970781
  • Facility Name: DAVILA PHARMACY
  • Facility Address: 1423 GUADALUPE STREET
    SAN ANTONIO, TX
    ZIP 78207
  • Facility Phone: 210 226-5293
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUDY DAVILA
  • NPI Number: 1205819885
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0970781
LAB Type Pharmacy
Facility Name DAVILA PHARMACY
Street 1423 GUADALUPE STREET
City SAN ANTONIO
State TX
ZIP 78207
Phone 210 226-5293
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Pharmacy
Lab Director RUDY DAVILA

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