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45D1028362 CLIA NUMBER - SOUTH TEXAS RENAL CARE GROUP

Laboratory Demographics

CLIA Number: 45D1028362

Facility Name: SOUTH TEXAS RENAL CARE GROUP

Facility Address:
215 N SAN SABA, SUITE 301
SAN ANTONIO, TX
ZIP 78207
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Facility Phone Number: 210 212-8622

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1285667451

Taxonomy: 207T00000X - Neurological Surgery
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

CLIA Record

Field Name Field Value
CLIA Number 45D1028362
LAB Type Physician Office
Facility Name SOUTH TEXAS RENAL CARE GROUP
Street 215 N SAN SABA, SUITE 301
City SAN ANTONIO
State TX
ZIP 78207
Phone 210 212-8622
CertificateType 4
CertificateEffectiveDate 7/22/2022
CertificateExpirationDate 7/21/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024