45D1000996 CLIA NUMBER - CONCENTRA- SAN ANTONIO AIRPORT

Laboratory Demographics

  • CLIA Code: 45D1000996
  • Facility Name: CONCENTRA- SAN ANTONIO AIRPORT
  • Facility Address: 10200 BROADWAY SUITE 200
    SAN ANTONIO, TX
    ZIP 78217
  • Facility Phone: 210 654-8787
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: DAVID B. PARKER
  • NPI Number: 1174865984
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1000996
LAB Type Industrial
Facility Name CONCENTRA- SAN ANTONIO AIRPORT
Street 10200 BROADWAY SUITE 200
City SAN ANTONIO
State TX
ZIP 78217
Phone 210 654-8787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Industrial
Lab Director DAVID B. PARKER

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