45D2041204 CLIA NUMBER - USRC SAN ANTONIO HOME THERAPIES LLC

Laboratory Demographics

  • CLIA Code: 45D2041204
  • Facility Name: USRC SAN ANTONIO HOME THERAPIES LLC
  • Facility Address: 215 NORTH SAN SABA, SUITE 314
    SAN ANTONIO, TX
    ZIP 78207
  • Facility Phone: 210 444-1958
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD REZA MIZANI
  • NPI Number: 1780139550
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2041204
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC SAN ANTONIO HOME THERAPIES LLC
Street 215 NORTH SAN SABA, SUITE 314
City SAN ANTONIO
State TX
ZIP 78207
Phone 210 444-1958
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAMMAD REZA MIZANI

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