45D1015871 CLIA NUMBER - HELOTES PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 45D1015871
  • Facility Name: HELOTES PEDIATRICS PA
  • Facility Address: 11085 BANDERA ROAD, SUITE 102
    SAN ANTONIO, TX
    ZIP 78250
  • Facility Phone: 210 372-0505
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WENDY L. GIDEON
  • NPI Number: 1952893463
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1015871
LAB Type Physician Office
Facility Name HELOTES PEDIATRICS PA
Street 11085 BANDERA ROAD, SUITE 102
City SAN ANTONIO
State TX
ZIP 78250
Phone 210 372-0505
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 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director WENDY L. GIDEON

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