45D1046448 CLIA NUMBER - LAS PALMAS DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 45D1046448
  • Facility Name: LAS PALMAS DIALYSIS CENTER
  • Facility Address: 803 CASTROVILLE ROAD SUITE 415
    SAN ANTONIO, TX
    ZIP 78237
  • Facility Phone: 210 438-9290
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LARRY R. DAVI
  • NPI Number: 1316334113
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1046448
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LAS PALMAS DIALYSIS CENTER
Street 803 CASTROVILLE ROAD SUITE 415
City SAN ANTONIO
State TX
ZIP 78237
Phone 210 438-9290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LARRY R. DAVI

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