45D1009611 CLIA NUMBER - VALLIC TEXAS DBA ADVOCATE HOME CARE

Laboratory Demographics

  • CLIA Code: 45D1009611
  • Facility Name: VALLIC TEXAS DBA ADVOCATE HOME CARE
  • Facility Address: 2819 NW LOOP 410 STE B
    SAN ANTONIO, TX
    ZIP 78230
  • Facility Phone: 210 722-5675
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: IMELDA VALENZUELA RN
  • NPI Number: 1851495386
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1009611
LAB Type Home Health Agency
Facility Name VALLIC TEXAS DBA ADVOCATE HOME CARE
Street 2819 NW LOOP 410 STE B
City SAN ANTONIO
State TX
ZIP 78230
Phone 210 722-5675
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Home Health Agency
Lab Director IMELDA VALENZUELA RN

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