45D1105467 CLIA NUMBER - ST MARK HOME HEALTH CARE LLC

Laboratory Demographics

  • CLIA Code: 45D1105467
  • Facility Name: ST MARK HOME HEALTH CARE LLC
  • Facility Address: 5545 FREDRICKSBURG ROAD, STE 205
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 210 366-2350
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: YVONNE V. GONZALEZ
  • NPI Number: 1316174584
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1105467
LAB Type Home Health Agency
Facility Name ST MARK HOME HEALTH CARE LLC
Street 5545 FREDRICKSBURG ROAD, STE 205
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 366-2350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Home Health Agency
Lab Director YVONNE V. GONZALEZ

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