45D2012316 CLIA NUMBER - HARDY OAK IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 45D2012316
  • Facility Name: HARDY OAK IMAGING CENTER
  • Facility Address: 18707 HARDY OAK STE 100
    SAN ANTONIO, TX
    ZIP 78258
  • Facility Phone: 210 617-9550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARRETT K. ANDERSEN
  • NPI Number: 1952903197
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2012316
LAB Type Physician Office
Facility Name HARDY OAK IMAGING CENTER
Street 18707 HARDY OAK STE 100
City SAN ANTONIO
State TX
ZIP 78258
Phone 210 617-9550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GARRETT K. ANDERSEN

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