45D1029317 CLIA NUMBER - USRC SA PLEASANTON ROAD LLC

Laboratory Demographics

  • CLIA Code: 45D1029317
  • Facility Name: USRC SA PLEASANTON ROAD LLC
  • Facility Address: 8119 SOUTH FLORES STREET
    SAN ANTONIO, TX
    ZIP 78221
  • Facility Phone: 210 922-6255
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD R. MIZANI
  • NPI Number: 1932168374
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1029317
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC SA PLEASANTON ROAD LLC
Street 8119 SOUTH FLORES STREET
City SAN ANTONIO
State TX
ZIP 78221
Phone 210 922-6255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAMMAD R. MIZANI

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