45D2089354 CLIA NUMBER - CONCENTRA URGENT CARE - FIESTA TRAILS

Laboratory Demographics

  • CLIA Code: 45D2089354
  • Facility Name: CONCENTRA URGENT CARE - FIESTA TRAILS
  • Facility Address: 12651 VANCE JACKSON SUITE 114
    SAN ANTONIO, TX
    ZIP 78249
  • Facility Phone: 210 762-3780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. ARMSTRONG
  • NPI Number: 1194122499
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2089354
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE - FIESTA TRAILS
Street 12651 VANCE JACKSON SUITE 114
City SAN ANTONIO
State TX
ZIP 78249
Phone 210 762-3780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Physician Office
Lab Director MICHAEL L. ARMSTRONG

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