45D1037943 CLIA NUMBER - SHAHBAZ YAZDANI MD PA

Laboratory Demographics

  • CLIA Code: 45D1037943
  • Facility Name: SHAHBAZ YAZDANI MD PA
  • Facility Address: 19186 BLANCO ROAD SUITE 102
    SAN ANTONIO, TX
    ZIP 78258
  • Facility Phone: 210 402-6080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHBAZ A. YAZDANI
  • NPI Number: 1871690859
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1037943
LAB Type Physician Office
Facility Name SHAHBAZ YAZDANI MD PA
Street 19186 BLANCO ROAD SUITE 102
City SAN ANTONIO
State TX
ZIP 78258
Phone 210 402-6080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director SHAHBAZ A. YAZDANI

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