45D2028930 CLIA NUMBER - LEGEND OAKS WEST SAN ANTONIO

Laboratory Demographics

  • CLIA Code: 45D2028930
  • Facility Name: LEGEND OAKS WEST SAN ANTONIO
  • Facility Address: 222 BERTETTI DRIVE
    SAN ANTONIO, TX
    ZIP 78227
  • Facility Phone: 210 673-1700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JIM SILVA
  • NPI Number: 1811357155
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2028930
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LEGEND OAKS WEST SAN ANTONIO
Street 222 BERTETTI DRIVE
City SAN ANTONIO
State TX
ZIP 78227
Phone 210 673-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JIM SILVA

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