45D1042115 CLIA NUMBER - SUMMIT HOME HEALTHCARE

Laboratory Demographics

  • CLIA Code: 45D1042115
  • Facility Name: SUMMIT HOME HEALTHCARE
  • Facility Address: 100 NE LOOP 410, STE 1500 A
    SAN ANTONIO, TX
    ZIP 78216
  • Facility Phone: 210 615-3877
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOSE LOPEZ
  • NPI Number: 1245409226
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1042115
LAB Type Home Health Agency
Facility Name SUMMIT HOME HEALTHCARE
Street 100 NE LOOP 410, STE 1500 A
City SAN ANTONIO
State TX
ZIP 78216
Phone 210 615-3877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Home Health Agency
Lab Director JOSE LOPEZ

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