45D2010598 CLIA NUMBER - GREATER SA HOUSE CALLS

Laboratory Demographics

  • CLIA Code: 45D2010598
  • Facility Name: GREATER SA HOUSE CALLS
  • Facility Address: 5309 WURZBACH STE 106
    SAN ANTONIO, TX
    ZIP 78238
  • Facility Phone: 210 647-4671
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: UGHANMWAN EFEOVBOKHAN
  • NPI Number: 1669701959
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2010598
LAB Type Practitioner Other
Facility Name GREATER SA HOUSE CALLS
Street 5309 WURZBACH STE 106
City SAN ANTONIO
State TX
ZIP 78238
Phone 210 647-4671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Practitioner Other
Lab Director UGHANMWAN EFEOVBOKHAN

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