Healther Providers Data Logo

45D1094943 CLIA NUMBER - SOUTH TEXAS RENAL CARE GROUP

Laboratory Demographics

CLIA Number: 45D1094943

Facility Name: SOUTH TEXAS RENAL CARE GROUP

Facility Address:
12011 STATE HWY 151, SUITE 202
SAN ANTONIO, TX
ZIP 78251
Get Directions

Facility Phone Number: 210 212-8622

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1689085854

Taxonomy: 207K00000X - Allergy & Immunology
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

CLIA Record

Field Name Field Value
CLIA Number 45D1094943
LAB Type Physician Office
Facility Name SOUTH TEXAS RENAL CARE GROUP
Street 12011 STATE HWY 151, SUITE 202
City SAN ANTONIO
State TX
ZIP 78251
Phone 210 212-8622
CertificateType 4
CertificateEffectiveDate 1/29/2023
CertificateExpirationDate 1/28/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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