45D2047415 CLIA NUMBER - EC OPCO WINDCREST, LLC DBA SODALIS SAN ANTONIO

Laboratory Demographics

  • CLIA Code: 45D2047415
  • Facility Name: EC OPCO WINDCREST, LLC DBA SODALIS SAN ANTONIO
  • Facility Address: 6849 CRESTWAY DRIVE
    SAN ANTONIO, TX
    ZIP 78239
  • Facility Phone: 210 946-4994
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PALOMINOS DELUSTANO
  • NPI Number: 1295235901
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2047415
LAB Type Assisted Living Facility
Facility Name EC OPCO WINDCREST, LLC DBA SODALIS SAN ANTONIO
Street 6849 CRESTWAY DRIVE
City SAN ANTONIO
State TX
ZIP 78239
Phone 210 946-4994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Assisted Living Facility
Lab Director PALOMINOS DELUSTANO

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