45D0977616 CLIA NUMBER - SPECIAL KIDS CARE

Laboratory Demographics

  • CLIA Code: 45D0977616
  • Facility Name: SPECIAL KIDS CARE
  • Facility Address: 11124 WURZBACH ROAD SUITE 100
    SAN ANTONIO, TX
    ZIP 78230
  • Facility Phone: 210 615-5242
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANGELA PENA RN
  • NPI Number: 1932458957
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 45D0977616
LAB Type Home Health Agency
Facility Name SPECIAL KIDS CARE
Street 11124 WURZBACH ROAD SUITE 100
City SAN ANTONIO
State TX
ZIP 78230
Phone 210 615-5242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Home Health Agency
Lab Director ANGELA PENA RN

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